Equality Health is an Arizona-based population healthcare company focused on improving care delivery for underserved populations through culturally-sensitive programs that improve access, quality, and patient trust. Our mission is to ensure diverse populations receive quality healthcare that improves and enriches their lives. We have developed our product portfolio around centralized technology, services and network designs intended to organize a better healthcare delivery system for cultures that have struggle with integrating into the tradition one-size-fits-all U.S. healthcare system.
The RN, Care Management Intake Specilaist is primarily responsible for prioritizing cases for care team outreach and partner interaction. This individual may complete intake assessments via a member data review and member interaction. This individual works closely with our network of primary care providers, care managers and other clinical teams as part of a field and office based clinical operations care team focused on improving patient outcomes and managing avoidable costs. This individual serves as a subject matter expert and provides consultative support to the broader care management team and our network providers as necessary. This role will also be expected to maintain an appropriately sized patient caseload. Patient caseload will consist of patients requiring medication reconciliation post-discharge and high-risk patients requiring RN level care coordination.
Responsibilities:
Perform structured assessments including clinical, quality of life, mental, substance use, spiritual, cultural, social and health literacy
Serve as a key member of the Care Management support staff in a collaborative team effort designed to support appropriate escalation of high need members and result in quality outcomes for the member and family/caregivers
Conduct member interviews and review member charts; document health status and barriers to care; determine coping mechanisms
Document assessments and activities in designated formats
Collaborate with other care team members and Equality Health Network providers in planning and carrying out member goals
Participate in member and family education related to health education and chronic condition management; promote self-efficacy and self-management plans
Refer members to community programs and services; recognize and utilize and available resources or materials
Develop organization-wide approaches that implement problem solving and analyses of current systems to identify opportunities for improvement
Meet regularly with health plan leadership to discuss member identification and outreach
Serve as resource for care team members for clinical questions or concerns
Foster positive change and teamwork within the transitional care team
Participate in the quality improvement projects within the department
Collaborate with all appropriate departments to design, evaluate and improve patient care systems and processes
Commitment and passion to improving healthcare delivery and alleviating disparities while meeting client-contracted agreements
Attend and participate in patient care reports, patient care conferences, team conferences, professional staff conferences and other appropriate educational activities only to the extent that such attendance and participation is relative to his/her assigned cases and/or the performance of services
Perform a variety of activities to provide meaningful data to providers, patients and their families
Required Knowledge, Education & Experience:
Active and current RN licensure from the AZ State Board of Nursing without restrictions
Minimum three (3) years of RN experience; preferred experience working in a hospital or home health nursing, or in an area relevant to case management
Demonstrated knowledge of nursing policies, procedures, protocols, treatments, standards of care and the Nurse Practice Act (NPA)
Strong written, verbal and interpersonal communication skills
Data analysis: Ability to manipulate and interpret large data sets needed to prioritize clinical care
Microsoft Excel proficiency in manipulating data and producing reports
Proficient using Microsoft Office applications and web-based technologies
Experience with and comfortable using keyboards, laptops, tablets and other electronic and portable devices for documentation for documentation and telehealth visits
Highly Preferred Skills, Abilities & Qualifications:
Bachelor of Science, Nursing (BSN) degree
Bilingual; able to read, write, and speak Spanish and English proficiently
Previous experience in a community health setting and with the AHCCCS system of care
Experience working with a diverse population and a strong understanding of multicultural issues
Demonstrated knowledge and experience with crisis intervention techniques
Successful record of managing multiple projects with demonstrated ability to work independently in rapidly-changing environments
Experience designing population health programs targeting chronic health conditions
Experience with healthcare database and care management systems
Experience with care coordination and case management for health plan populations
Experience collaborating with physicians and facility administrators to solve problems
Physical Requirements:
Walking, standing, sitting, lifting 15 lbs. frequently
Capable of working virtually from a home-based office with high speed internet
Frequent screen reading
Equality Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.