Clin RN, Comp Care

Description The Comprehensive Care Clinician has the responsibility for supporting the goals and objectives of the care enhancement program by providing high quality telephonic support in an appropriate, efficient and cost effective manner while ensuring high quality care.  The Comprehensive Care Clinician 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.        

Requirements Qualifications:
 
1.         The successful candidate must possess a High School diploma and a Diploma in Nursing, an Associate's Degree in nursing or Bachelor's Degree in nursing with a BSN preferred.
2.         Minimum of 2-3 years Case Management experience required.
3.         Ability to be self-directed, highly organized and proactive.
4.         Basic knowledge of physiology and chronic disease appropriate for an RN.
5.         Excellent listening skills.
6.         Language Skills: Ability to communicate with members, other members of the team, physicians, and plan representatives. Effective oral and written communication skills.  Ability to read, analyze, and interpret common scientific and technical journals. Ability to effectively present information to audiences with a variety of knowledge/skill levels.
7.         Math Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, percent and to draw and interpret bar graphs.
8.         Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exits.  Ability to interpret and organize data in an effective and useful manner; ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
9.         Computer Skills: To perform this job successfully, an individual should have basic computer skills and be familiar with a Windows operating system. 
10.    Counseling/Teaching Skills:  Able to effectively educate people in a telephonic environment utilizing and promoting adult learning and behavior change as needed.
 
Licenses/Certifications
 
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.
 
About Healthways: For three decades, Healthways has been dedicated to improving the human condition. Each year, we learn more and do more for the millions of individuals who count on us to make a difference in their health and well-being. Healthways is a global provider of solutions that help employers, health plans and government agencies enhance business performance and reduce healthcare costs. Our mission is to create a healthier world, one person at a time. Here at Healthways as we continue to make the world a healthier place, we have also created an environment where people choose to do their best work. Our unique culture thrives on mission-driven individuals who exude a high sense of energy and passion in everything that they do. Collaboration and teamwork are an essential part of everyday life for Colleagues who trust and depend on one another to achieve the highest degree of collective success. We are an organization that strives to recruit the best and the brightest individuals who take pride in the statement "I work for Healthways."