About this role
Role Overview
- Use a holistic, member-centric approach to engage and motivate members and their families through recovery, health, and wellness programs
- Perform telephonic and face-to-face assessments to evaluate members' needs and support achievement and maintenance of wellness by connecting members and families to appropriate resources
- Ensure members are progressing toward desired health outcomes through ongoing monitoring, reassessments, and evaluations
- Provide clinical interventions through the creating and implementation of individualized care plans based on clinical judgment, changes in physical or psychosocial health, and identified triggers
- Collaborate with providers, caregivers, and community resources to promote high-quality, cost-effective outcomes
- Coordinate delivery of needed services and support related to Physical Health, Social Determinants of Health, and value-added benefits
- Partner across the transdisciplinary care team, including primary care providers, and support transitions of care
- Demonstrate understanding of department, segment, and organizational strategies and operating goals, and how they align with related areas
- Submit incident reports following organizational and regulatory requirements
Requirements
- Unrestricted Registered Nurse license in the state of Louisiana with 2 years of experience of in-home case/care management
- Experience working with all populations (youth, adult, geriatric)
- Knowledge of community health and social service agencies and additional community resources
- Experience using a variety of electronic information applications/software programs including electronic medical records with excellent keyboard and web navigation skills and the ability to provide narrative documentation
- Must document clinical assessments and care activities electronically using mobile devices and digital health record systems while working in members' homes
- Engage members and caregivers during in‑home visits to conduct assessments, explain care plans, and support trust‑based relationships
- Autonomously work within the role and scope
- Must reside in Louisiana and can work a full-time (40 hours minimum) flexible work schedule and travel to member's residence within 50 miles
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- paid time off
- company and personal holidays
- volunteer time off
- paid parental and caregiver leave
- short-term and long-term disability
- life insurance
- many other opportunities