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TRANSITIONS OF CARE, RN

ALLCARE HEALTH | Grants Pass, OR, US, 97526

Job Type: Full TimeSalary Range:$78,000 – $116,000 Salary range estimated by Zippia

Posted an hour ago


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Description

Transitions of Care, RN at AllCare Health with the Population Health department

We Are Seeking Qualified Candidates to Join Our Team!

AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and telecommute, remote work, and flexible schedule options.

Summary

This position is responsible for coordinating behavioral, medical, social, and dental health care needs for all AllCare Medicaid, Medicare, and Medicare dual eligible members of all ages during transitions from one health care setting to another, or from home, to or from, a healthcare setting; this includes members with terminal conditions requiring goals of care and advance care planning support, and members planning a future surgery occurrence by performing the following duties.

Essential Duties

Assess, plans, implements, coordinates and requests services required to meet member health care needs.
Interacts with the member, family, caregiver, and involved healthcare professionals when Goals of Care cases are determined to exist with the purpose of advocating for member decision making and providing adequate education to support member in understanding which choices are available to them, including periodic re-evaluation of individual and family nursing needs for participants who have a terminal diagnosis and a prognosis of 6 months or less.
Coordinates with receiving facility for planned transitions from any setting to any other setting, or unplanned transitions, such as an emergency department visit leading to a hospital admission.
Acts as an advocate and facilitates collaboration with the interdisciplinary care team (ICT) in order to assist members to develop a knowledge base that will allow self-reliance in coping with chronic illnesses.
Conducts thorough planning to determine and document specific objectives, goals, and actions to meet the member’s identified needs, including re-evaluation of the individualized care plan (ICP).

Clinical Supervision

This position provides clinical supervision for assigned clinical personnel and other support staff.
Supervision needs will be evaluated based on clinical experience and performance and may be weekly but not less than bi- weekly.
Acts as preceptor during the onboarding of new hire employees.

Job Requirements

May require the use of personal vehicle for local travel (subject to mileage reimbursement).

Education & Experience

Associates or Bachelor's degree from an accredited university in nursing. Bachelor’s degree preferred.
Knowledge of behavioral health and psychiatric disability issues, psychological and neuropsychological issues, substance abuse, addiction, wellness and illness prevention, multicultural issues, chronic illness and disability aspects, spirituality as it relates to their health, complementary alternative medicine management, and members in various stages of crisis is preferred.
At least two years of experience in case management, disease management, managed care, or homecare coordination.
Knowledge of appropriate referrals to QI Committee, Corporate Compliance, Fraud and Abuse, Appeals and Grievances.

Certificates, Licenses and/or Registrations

Valid Oregon Registered Nurse (RN) licensure.
Valid Oregon Driver’s License and vehicle insurance.
Completes the National Provider Identifier (NPI) registration within the first 30 days of hire.
Current Basic Life Support (BLS) Certification or willingness to be certified within 90 days of hire.
Current Mental Health First Aid Certification or willingness to be certified within 90 days of hire.
CCM certification is required or to be obtained within two years of hire date. (Subject to pay increase upon Certification)

Physical Demands & Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate.

The employee has exposure to communicable disease and body fluids.
Because of exposure to patient records of all types, the highest standard of patient confidentiality and privacy as established by business policy and HIPAA requirements must be maintained.
The employee must be able to work onsite for all scheduled shifts, occasionally, frequently, as needed.
The employee must be able to travel locally, as needed.

Company Overview

AllCare Health Website:

AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp® status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at )

AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more.

The AllCare Health family of businesses is guided by our corporate principles:

Purpose | Working together with our communities to improve the health and well-being of everyone.

Values | Trust, Innovation, Relationships, and Voice.

Vision | Thriving, Inclusive, and Equitable communities.

Brand Promise | Changing Healthcare to Work for You.

AllCare Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.%20299763% %%mednurse%%
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