RN Field Health Care Transitional Coach

Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations. Centene’s core philosophy is that quality healthcare is best delivered locally.

Our local approach enables us to provide accessible, high quality and culturally sensitive healthcare services to our members. Our managed care model utilizes integrated programs that can only be delivered effectively by a local staff, resulting in meaningful job creation within the communities we serve.

We are aggressively seeking RN Field Healthcare Transition Coach in a Healthcare organization. As the Year 2016 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours, a competitive salary, and be a RN Field Healthcare Transition Coach with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a RN Field Healthcare Transition Coach who can provide a high level of service and attention to their members. If you are seasoned, and you meet the qualifications listed below, please send your updated resume to Ana Bayolo for immediate consideration.

Candidate will be working remote. Will be interviewing training at the Bothell address listed in order.

70% of time will be in the field. All equipment provided as well as mileage reimbursement.

• Identifies, assesses and manages Molina members during care transitions per established criteria.
• Coordinates transition of care between inpatient and other settings with the practitioner, Healthcare Services (HCS) staff, and community based agencies, social workers, hospital/nursing facility discharge planner, and/or other providers as required.
• Coordinates necessary services with participating ancillary service providers and public agencies as appropriate to ensure quality, cost effective care and reduced readmissions for the member.
• Conduct one discharge planning hospital visit with the member at assigned facilities prior to discharge to:
  • Discuss the Molina Transition of Care Program
  • Identify staff and roles as they differ from the facility staff
  • Introduce Personal Health Record (PHR)
  • Review Discharge Checklist
  • Evaluate current medications via the medical record or advise the member to request that facility staff review the medication list
  • Discuss the importance of understanding prescribed medications and having a system in place to ensure adherence to the regimen
  • Discuss the Medication Record
  • Facilitate appointment with either the Primary Care Physician/Practitioner or treating specialist within 5 days of discharge
  • Provide information and contact numbers for Molina resources (transportation, Nurse Advice Line (NAL), Care Coordination/Case Management, Behavioral health)
  • Discuss emergency plan
• Develops a plan of care consistent with sound medical, behavioral health, chemical dependency and financial management. Includes assessment of health needs, individualized care plans and/or service plans, implementation, monitoring and evaluation of case outcomes.
• Arranges for health care services within the scope of available benefits.
• Documents medical management within the electronic medical record system. Documentation includes assessments, service plans and/or care plans and updates, contacts and planned tasks.
• Reviews and updates care plans for continuity of care and facilitates plan modifications including barriers to goals and interventions for members being coached through the transition of care from the inpatient and or skilled nursing facility.
• Maintains active caseload and conducts expected face to face visits consistent with Molina Healthcare standards.
• Documents a cost analysis of services. Contributes to monthly departmental Cost Savings Report and decreased…