Holistic Health Specialist (HAS)

Davita Inc.; Indianapolis (IN); Remote; USD 60,000 - 134,000; Full time

Job summary

Davita Inc. is seeking a Registered Nurse to serve as a key contact for members and healthcare personnel. The role involves clinical assessments, care coordination, and promoting quality treatment while ensuring efficient resource management. Candidates must possess a valid RN license and have experience in direct clinical care and care management.

Benefits

401(k) plan

Paid time off

Tuition reimbursement

Disability insurance

Life insurance

Qualifications

• Nursing license must be valid and unrestricted.
• Minimum 2 years clinical experience.
• Experience in care management preferred.

Responsibilities

• Serve as the primary contact for members and healthcare personnel.
• Consult with providers to evaluate options for health needs.
• Manage care coordination and follow-up post-discharge.

Skills

Clinical judgment

Analytical skills

Verbal communication

Written communication

Education

Registered Nurse (RN) license

CCM/CCP/CDE/MCG certification (preferred)

Tools

Word

Excel

Lotus Notes

Database management tools

Job description

At HCSC, our employees are the cornerstone of our business and the foundation of our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for performing a variety of functions and serving as the single source of contact for members, healthcare personnel, and all other entities involved in managing care. The role involves identifying alternative treatment programs, consulting with physicians, providers, members, and other resources to evaluate options and services to meet individual health needs. It promotes quality and cost-effective outcomes, acts as a liaison to physicians and members, and includes determining member assignment of treatment, pre-admission, and post-discharge counseling for acute conditions. The position also involves establishing relationships with members, handling immediate post-discharge follow-up, providing education and local resource information, and encouraging member self-education. Functioning in a clinical care advisory role, the nurse assesses members for wellness education and disease management, introduces members to website tools, educates on wellness and specific conditions, and facilitates care coordination. The role provides oversight to Holistic Health Coordinators.

Job Requirements

• Registered Nurse (RN) with current, valid, unrestricted license in the state of operations
• Compact license
• At least 2 years of clinical practice experience providing direct clinical care
• At least 1 year of experience in care management/condition management within a health insurance/managed care setting
• Proficiency in Word, Excel, Lotus Notes, and database management
• Strong verbal and written communication skills
• Familiarity with ancillary services such as HHC, SNF, Hospice, etc.
• Analytical skills
• Decision-making skills and sound clinical judgment to oversee staff

Preferred Job Requirements

• Experience managing complex or catastrophic health cases
• Specialty clinical experience in areas such as intensive care, orthopedics, NICU/pediatrics, oncology, diabetic management, obstetrics (low to high risk maternity)
• Working toward or having completed CCM/CCP/CDE/MCG certification or an advanced degree
• Knowledge of Milliman Guidelines or similar clinical guidelines
• Knowledge of medical management policies and procedures

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At HCSC, we are committed to offering meaningful benefits to support our employees' lives outside of work, including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, paid holidays, tuition reimbursement, and other incentives. Learn more at https://careers.hcsc.com/totalrewards.

The offered compensation varies based on skills, education, and experience. This role may be eligible for an annual incentive bonus, subject to plan terms.

HCSC Employment Statement

We are an Equal Opportunity Employer committed to a welcoming environment that respects and values diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range

$60,300.00 - $133,400.00