Risk Adjustment Registered Nurse

Sharecare CL, LLC; California (MO); Hybrid; USD 61,992 - 82,656; Full time

Job summary

Sharecare is seeking a qualified RN to provide telephonic support within the care enhancement program. You will coordinate with the Primary Care Provider and disease management team to manage total healthcare, identify at-risk participants, and intervene according to program guidelines.

Responsibilities include initiating interventions, supporting educational needs, and ensuring cost-effective, quality outcomes. Yearly competency tests are required for all clinicians.

Qualifications

• Current RN license appropriate for the state where the Business Unit is located.
• High school diploma plus a nursing credential; BSN preferred.
• Minimum of 3 years of recent clinical experience.
• COVID-19 vaccine required by date of hire.

Responsibilities

• Reviews status of participants' preventive health exams per guidelines.
• Initiates interventions and conducts telephone outreach for assessment and goal setting.
• Coordinates care with Primary Care Provider and disease management team.
• Develops and facilitates care plans addressing total healthcare needs.
• Ensures continuity of care and removes barriers to access.

Skills

RN license

Excellent listening

Self-directed

Education

Diploma in Nursing

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Job description

Sharecare is the digital health company that helps people manage all their health in one place. The Sharecare platform provides each person – no matter where they are in their health journey – with a comprehensive and personalized health profile, where they can dynamically and easily connect to the information, evidence-based programs and health professionals they need to live their healthiest, happiest and most productive life. With award-winning and innovative frictionless technologies, scientifically validated clinical protocols and best-in-class coaching tools, Sharecare helps providers, employers and health plans effectively scale outcomes-based health and wellness solutions across their entire populations. We are always looking for people that value the opportunity to work hard, have fun on the job, and make a difference in the lives of others through their work every day!

Job Summary:

The RN has the responsibility for supporting the goals and objectives of the care enhancement program byproviding high quality telephonic supportin an appropriate, efficient, andcost-effectivemanner while ensuring high quality care.The RN coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for early identification of those assigned participants who are at risk for increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines. AllSharecareclinicians are required to participate in the orientation and to take the pre andpost-teststo review competency during orientation. Yearly competency test is required for allSharecareclinicians.

Essential Job Functions:

• Reviews status of participant’s preventive health exams as defined by the disease-specific Standards of Care guidelines.
• Initiate appropriate interventions for member.
• Contacts participant by telephone as needed for information sharing, assessment, intervention, and behavioral goal setting.
• Identifies educational needs of participant and facilitate educational opportunities (i.e.mails patient education materials; refer to health plan if appropriate).
• Reviews participant’s functional status, formal and informal family support system, determining participant’s desired outcome of care and needs for participant education.
• Develops and facilitates implementation of a care plan addressing the total healthcare needs of the participants.
• Specific focus and resources will be directed to the specific problem resulting in the appropriate stratification level.
• Identifies participant barriers to accessing health care services.
• Coordinates with Provider Service Managers and/or other members of the disease management program team when available to remove system barriers.
• Functions as integral part of the multi-disciplinary team.
• Facilitates communication exchange with primary managing physician and other providers, health plan, and the disease management program team.
• Coordinates with other colleagues to ensure continuity of care for assigned participant panel to avoid gaps in care or call campaigns.
• Accepts warm transfer calls from non-RN colleagues for assessment and/or additional discussion with participant when necessary.

Specific Skills/ Attributes:

• Excellent listening skills.
• Ability to be self-directed, highly organized, and proactive.

Qualifications:

• Current RN license appropriate for the state in which the Business Unit is located and able to obtain licensure in other states, as required by state law or contract.
• The successful candidate must possess a High School diploma and a Diploma in Nursing, anAssociate’s Degreein nursing orBachelor’s Degreein nursing with a BSN preferred.
• Basic knowledge of physiology and chronic disease appropriate for an RN.
• Minimum of 3 years recent experience in a clinical setting.
• Must have received the COVID-19 vaccine by date of hire to be considered for employment.

Pay Rate: $45-$60/hr

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Everyone lives better, longer. That’s the vision. We’re making strides every day by bringing together the many different elements of health for you, your family, and your community. It’s not easy connecting doctors, health plans, employers, useful tools, quality information, and more to deliver what you need when you need it. But that’s what makes Sharecare special. We’re putting the power of living your healthiest life in your hands.

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.