Market Support RN Coordinator

Longevity Health; North Palm Beach (FL); On-site; USD 65,000 - 85,000; Full time

Job summary

Longevity Health is seeking a Market Support Registered Nurse Coordinator to support quality measures, STARS, HEDIS, and health plan accreditation. You will work with the Market Director of Clinical Services to implement quality improvements and ensure continuity of care for long-term care residents.

The role requires an RN license, strong data analytics, EMR proficiency, and experience in care coordination and performance improvement within healthcare settings.

Qualifications

• Registered Nurse license required in home state of residence.
• Bachelor’s degree in nursing or related healthcare discipline required and must be licensed.
• Minimum 2 years’ RN experience preferred in long-term care or health plan environments.

Responsibilities

• Coordinate all aspects of the Quality Improvement Program.
• Analyze medication adherence data and close gaps with field and leadership.
• Educate field team on Star and HEDIS measures and track gaps.
• Meet with market leadership to review quality progress and improvement plans.
• Prescreen enrollees in EMRs to assess continuity of care needs.
• Perform care coordination including transitions and Prior auth processes.
• Participate in Longevity Health Plan clinical meetings daily/weekly/monthly.
• Gather data for hospitalization review sessions.
• Utilize EMRs and MS Office for documentation and reporting.
• Organize outside appointments for members.

Skills

RN license

Data analytics

EMR proficiency

Care coordination

Project management

MS Office (Excel/Word/PowerPoint)

Education

Associate degree in nursing

Bachelor’s degree in nursing or related healthcare discipline

Tools

EMR/clinical platform

MS Office

Job description

About Longevity

At Longevity, we're dedicated to advancing healthcare through innovation, compassion, and excellence. We're looking for passionate individuals to join our team and help us make a difference. The individual holding this position is required to support and demonstrate their commitment to Longevity Health's purpose: To optimize the quality of life of people in long-term care by focusing on their individualized health needs.

Brief Description

Join us in transforming healthcare

About Longevity

At Longevity, we're dedicated to advancing healthcare through innovation, compassion, and excellence. We're looking for passionate individuals to join our team and help us make a difference. The individual holding this position is required to support and demonstrate their commitment to Longevity Health's purpose: To optimize the quality of life of people in long-term care by focusing on their individualized health needs.

About The Role

The Market Support Registered Nurse Coordinator works in coordination with Market Director of Clinical Services or their designee to support the market in the completion of Quality Measures, STARS, HEDIS or Health Plan Accreditation or delegated oversight audits. The individual holding this position will demonstrate understanding of principles of quality management and performance improvement in their daily work.

Requirements

Key Tasks and Responsibilities:

• Participate in and coordinate all aspects of the Quality Improvement Program
• Analyze the medication adherence information that is shared from pharmacy team, track concerns or needs for closing gaps and communicate with the APP in the field as well as leadership team on the progress of closure
• Education of the field team on the Star and HEDIS measures
• Track and coordinate with team on closure of Star and HEDIS gaps
• Meet with the Market Director of Clinical Services and the market leadership team regularly to review quality progress and improvement plans
• Uses facility EMRs to prescreen new enrollees to determine any specific continuity of care needs for external appointments/specialists, etc. and facilitates their access
• Performs care coordination activities - member transitions of care communication to and from facility, assisting with Prior auth requests process, knowing how to access the drug formulary, provider directory and communicates member patients/families and doctors as delegated by team - Nurse Practitioners
• Participates in Longevity Health Plan standing clinical meetings on a daily/weekly monthly basis
• Assists with gathering data for hospitalization review sessions
• Proficient user of the LHP EMR as well as the facility EMRs and medication refill process
• Assist with organizing outside appointments for the members
• Performs other duties as assigned, or as required by the team and based on workload, which may include such things as tracking skilled therapy, MTMs, disenrollment's, etc

Supervisory Responsibilities

• There are no supervisory responsibilities for this position

Licensure

• Registered Nurse licensed in state of residence required
• Valid state driver's license with a good driving record required
• Auto liability insurance declaration page with minimum limits of $100,000/$300,000 for bodily injury and $100,000 for property damage with combined single limit of $300,000
• You will be responsible for providing this proof of coverage on an annual basis

Education And Training

• Associate degree in nursing required, bachelor's degree in nursing or other healthcare related discipline but must be a licensed professional registered nurse

Knowledge And Experience

• Nursing home background or health plan case management experience preferred
• Minimum 2 years' experience as a Registered Nurse
• Excellent verbal and written communication skills
• Excellent computer skills, EMR/clinical Platform/MS Office Products
• Knowledge of the challenges and opportunities to serve the long-term nursing home population
• Required to have managed care coordination background/experience
• Data analytic skills in a healthcare setting required
• Ability to prioritize work effectively
• Critical thinking and effective decision making
• Computer, MS Office PPT, Excel, MS Word, Teams, Outlook skills required
• Project management skills preferred

Company Overview

Longevity Health is a national provider of Institutional Special Needs Plans (I-SNP), created to meet the complex healthcare needs of nursing home residents. Since our founding in 2018, we've expanded our services across several states and formed strategic partnerships to deliver high-quality, patient-centered care. We are actively growing, with plans to continue expanding our services across the nation.

Longevity Health is an Equal Opportunity Employer. We value diversity and encourage applicants of all backgrounds to apply.

COVID-19 Vaccination Policy

Longevity Health follows federal and state regulations regarding COVID-19 vaccinations. Some facilities may still require staff vaccinations to protect the health of residents. Applicants will be required to provide proof of vaccination, or an approved exemption, where applicable.