Care Manager RN - Bilingual Spanish - (Baldwin, Georgia, United States)
Location: Baldwin, Georgia
Internal Number: 42930967168
Healthcare Without Rival
Premise Health is proud to partner with Fieldale Farms and is seeking a full-time Care Manager RN - Bilingual Spanish needed to support our employee health clinic located in Baldwin, GA. Schedule: Mon - Fri 8am - 5 pm
Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions.
PURPOSE OF THE POSITION
RN position that leverages powerful data insights to proactively identify and engage members who need support the most. Supports members through scheduled visits and outreach, providing care, education and coordination of resources that assists members to achieve improved health. Collaborates closely with clinical teams to provide guidance on engagement strategies, focused on improving health status of the members. Manages a panel of high-risk members with chronic conditions to provide frequent touchpoints and ensure care gap closure as defined by national standards. Facilitates Care Team meetings to ensure an interdisciplinary approach to care for member panel.
ESSENTIAL JOB FUNCTIONS
Care Manager RN responsibilities:
Proactive outreach to high risk members identified through claims data
Develop personalized treatment plans using provider care plans and member preferences
Supports “Individual contributor to” a proactive, multidisciplinary team approach directed toward prevention, education and health promotion
Establishes supportive relationship with members
Assesses member’s educational/clinical/social needs, prioritizing care based on elicited information from the member, Epic, and data analysis
Acts as resource for members
Documents touchpoints and progress into the electronic medical record
Collaborates with the full scope of clinical team members to arrange for further medical treatment when needed
Provide support and tools needed to help members take control of their health
Delivering exceptional member experiences and engaging members in their healthcare journeys
Improving health outcomes and better management of any chronic condition
Lowering healthcare costs while improving outcomes
Consults with other members of the healthcare team to solve problems and seek advice
Works closely with client’s vendors as appropriate to support member’s needs
Identifies emergency situations and provides care within legal scope of practice
Maintains member privacy and confidential member information
Participates in outreach/follow-up phone calls and follow-up member visits
Assists in the development of criteria to measure outcomes, assists in the analysis of data for quality improvement, interprets study results, identifies limitations and barriers and recommends alternatives
Provides condition specific self-care education to client employee enrolled in the various condition management programs
Serves as member advocate
Acts as facilitator of Care Team meetings.
May require other duties as assigned.
Additional skills that may be required:
Designs interventions with the member to improve outcomes
Coach effectively using in-person, video and telephonic platform
Collaborates with health center staff to coordinate and promote health and wellness programs
May assist Operations in assessing and maintaining reports, evaluating clinical program(s) & conducting ongoing evaluation of the effectiveness of the programs
Develops and presents educational services for associated persons or departments as appropriate
Comfortable with using Excel
Currently licensed Registered Nurse in state of practice
Current hands-on certification AHA or ARC Basic Life Support for health care providers; Advanced Cardiac Life Support may also be required based on contract scope of services
Current Wellness Coach Certification from Wellcoaches® OR equivalent International Coach Federation-accredited program certification (must be obtained within 24 months of hire)
Bachelor's degree (BSN) from four-year college or university (preferred)
Multiple state licensure preferred.
Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you.
Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.
To support Premise Health’s commitment to the safety, health and wellbeing of our team members, clients and patients, Premise Health encourages all new team members to be fully vaccinated and up to date with a COVID-19 vaccine. Where applicable state or local laws or a client require, individuals who are offered and accept a position with Premise Health will be required to provide proof of vaccination in the form of a CDC vaccination card as part of the pre-employment onboarding process. **Except where a reasonable medical or religious accommodation can be granted.