Transitions of Care RN 100% Virtual, CareBridge

Transitions of Care RN 100% Virtual, CareBridgeCareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services.Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Work Hours: Monday – Sunday with mandatory 2 weekends a month (4, 10 hour shifts)Eastern Time: 8:00AM – 7:00PMAll other time zones: 7:00AM – 6:00PM, 8:00AM -7:00PM or 9:00AM -8:00PMThe Transitions of Care RN- Carebridge is responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases.How you will make an impact:Conducts behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs.Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments.Interfaces with provider and other health professionals to coordinate health coaching plan for the member.Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs.Uses motivational interviewing to facilitate health behavior change.Monitors and evaluates effectiveness of interventions and/or health coaching plans and modifies as needed.Directs members to facilities, community agencies and appropriate provider/network.Refers member to catastrophic case management.Minimum Qualifications:Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or any combination of education and experience, which would provide an equivalent background.Current unrestricted RN license in applicable state(s) required.Preferred Skills, Capabilities and Experiences:RN compact license is highly preferredBS in nursing preferredPrior case management experience preferredBilingual in Spanish is highly preferredExperience working with members that have chronic diseases is highly preferredExperience working in home health is preferredJob Level: Non-Management Exempt