Holistic Health Specialist (HAS)

Davita Inc.; Richardson (TX); Remote; USD 60,000 - 134,000; Full time

Job summary

A leading healthcare organization seeks a Registered Nurse to manage care coordination while promoting quality outcomes. You will serve as a liaison, ensuring members receive necessary resources and care. This role requires strong clinical judgment, communication skills, and proficiency in managing complex health cases.

Benefits

Health and wellness benefits

401(k) and pension

Paid time off

Parental leave

Tuition reimbursement

Qualifications

• At least 2 years of clinical practice experience.
• At least 1 year of experience in care or condition management.
• Proficiency in PC applications.

Responsibilities

• Serve as contact for members and healthcare personnel.
• Assess and coordinate care for members.
• Provide wellness education and promote self-education.

Skills

Verbal communication

Written communication

Analytical skills

Decision making

Education

Registered Nurse (RN) license

CCM/CCP/CDE/MCG certification

Tools

PC applications (Word, Excel)

Database management

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 invests in your professional development.

Job Summary

This position is responsible for performing a variety of functions and serves as a single source of contact for members, healthcare personnel, and 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 needed to meet individual health needs. The incumbent promotes quality and cost-effective outcomes and acts as a liaison to physicians and members. Additional responsibilities include determining member assignment of treatment, providing pre-admission and post-discharge counseling for acute conditions, establishing relationships with members, and handling immediate post-discharge follow-up until short-term care needs are met. The role also involves providing education, local resource information, and encouraging member self-education. Functioning in a clinical care advisory capacity, the nurse assesses members for wellness education and disease management, introduces members to website tools, educates about wellness and specific conditions, and facilitates care coordination. Oversight of Holistic Health Coordinators is also part of this role.

Job Requirements

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

Preferred Qualifications

• Experience managing complex or catastrophic health cases
• Specialty clinical experience in areas such as intensive care, orthopedics, NICU/pediatrics, oncology, diabetic management, or obstetrics
• Progress toward or completion of CCM/CCP/CDE/MCG certification or an advanced degree
• Knowledge of Milliman Guidelines or similar clinical guidelines
• Understanding of medical management policies and procedures

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Referral Process: If referred by a connection at HCSC, inquire about our Employee Referral process.

Pay Transparency: We offer meaningful benefits, 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. Compensation varies based on skills, education, and experience and may include an annual incentive bonus.

HCSC Employment Statement

We are an Equal Opportunity Employer committed to a diverse and inclusive environment. 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