Senior Specialist, Nurse

At Collective Health, Care Navigation plays a crucial role in helping people get the right support, at the right time, across a wide range of complex health needs. Care Navigation is a comprehensive care management program made up of our team of pharmacists, social workers, nurses, dietitians, and care coordinators that support people dealing with chronic or serious illnesses by guiding them on their journey to help them understand and navigate the disjointed U.S. healthcare system. In joining our Care Navigation team, you’ll have the important role of helping our members achieve better health at a lower cost. You will report to the Manager of Care Navigation.

What you’ll do:

• Deliver coordinated, patient-centered virtual Care Management by telephone that improves members’ health outcomes.
• Lead outreach efforts to high-risk individuals and complete care management assessments and care plans for patients enrolled in the program
• Utilizes the Nursing Process and broad knowledge of the whole person including pharmacy interventions, crisis interventions, and disease-specific education to support members in their care journey
• Help members navigate the complexity of the healthcare system, providing education and empowerment to support members in meeting their healthcare goals
• Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
• Identify and discuss current barriers related to member's current conditions, and provide interventions to address these barriers and connections to relevant health benefit resources
• Work with other disciplines on co-managed cases and collaborate with other teams to assist with benefits and claims questions
• Coordinate necessary resources that holistically address members’ problems, whether clinical or social
• Provide compassionate, longitudinal follow-up care, building supportive relationships
• Participating in program case rounds and providing input for process improvement opportunities and resources for team
• Use your expert care management knowledge to mentor and be a resource to other registered nurses on the Care Navigation team
• Other duties and projects as assigned by Manager

To be successful in this role, you'll need:

• To have an active RN license in a compact state with ability to be licensed in other states as needed. 
• To have 1+ years experience in case management
• You have 2+ years experience in a hospital or clinical setting
• Bilingual Highly Preferred: (English/Spanish)
• To be able to maintain current nursing licensure by completing applications for renewal in a timely manner and by complying with all requirements for continuing education.
• Experience in these areas: med/surg, cancer, behavioral health, maternity, critical care/emergency, pediatric, community care.
• To be driven, passionate, attentive, enjoy change, and are excited to help people
• To identify and implement best practices
• To excel at managing a caseload, and can complete daily tasks and outreach
• Strong competence and ability to use multiple computer/medical record systems, as well as Google suite
• To be self-aware, able to prioritize and manage multiple assignments, while maintaining department performance standards in a remote setting
• To be simultaneously talk, type, and navigate an electronic chart with ease
• To excel working in a telephonic care manager role with no direct/face to face patient contact
• A commitment to Collective Health's core values of integrity, transparency and trust

Pay Transparency Statement 

This is a hybrid position based out of our Plano office, with the expectation of being in office at least three weekdays per week. #LI-hybrid

The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for 20,000 stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.