[Remote] Transitions of Care RN Case Manager at Devoted Health

United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

3-4 Years of Experience of RN Care Management/telephonic case management experience
An unrestricted Compact RN license obtained in the United States
Ability to secure other licensure states
Enthusiasm for working in a setting where meaningful time is spent on the phone with patients and/or their caregivers
Comfort and confidence working in an environment guided by performance and productivity metrics, with a focus on quality outcomes and patient experience
Health insurance experience, particularly Medicare Advantage
Prior Special Needs Plan, Population Health, or Transitions of Care case/care management experience
Clinical analytical thinking that allows you to apply your skills to the individual needs of each patient
Telephonic care/case management experience

Responsibilities

Engaging with newly discharged patients telephonically to understand their needs, supported by technology and data tools
Conducting assessments to identify comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and patient values and preferences
Developing care plans in partnership with patients and their caregivers - problems, goals, interventions - while continuously evaluating the patient’s progress
Explaining complicated medical terms in plain language
Educating patients on their chronic conditions including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements such as medication adherence
Hearing the red flags and providing active care management to close the gaps
Partnering with the TOC Nurse Practitioners and Physicians to ensure smooth handoffs, comprehensive follow-up, and coordinated care during the post-discharge period
Referring patients to Devoted Medical when applicable and working closely on partnering for patient care
Working closely with Devoted Community Guides (locally-based social workers) to identify community-based organizations to support our patients in meeting their goals
Coordinating post-treatment care and DME needs
Collaborating closely with our PCP partners, to coordinate care and deliver evidence based, effective, and accessible health care

Skills

Devoted Health

Medicare Advantage plans with personalized support

About Devoted Health

Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.

Waltham, MassachusettsHeadquarters

2017Year Founded

$2,194.5MTotal Funding

SERIES_ECompany Stage

HealthcareIndustries

1,001-5,000Employees

Benefits

Comprehensive health plan

401(k) retirement plan

Generous vacation and holiday time

Lyra mental health resources

Time off to vote

Risks

Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.

Potential regulatory changes affecting Medicare Advantage plans by CMS.

Rising healthcare costs could impact the affordability of Devoted Health's plans.

Differentiation

Devoted Health offers personalized assistance through Devoted Health Guides for member support.

The company emphasizes preventive care with its Devoted Dollars rewards program.

Devoted Health integrates virtual and in-home care with top local providers.

Upsides

Devoted Health raised $287 million in Series E funding in 2024.

The company expanded Medicare Advantage plans to eight new states in 2023.

Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.

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