Clinical Guide Population Health RN

ABOUT THE ROLE: Under the general supervision of the Sr. Clinical Manager, the Clinical Guide Population Health RN performs clinical triage, high-risk outreach, condition support, care planning, clinical education, and care coordination to support Rightway members in navigating, accessing, and best meeting their care needs. The Clinical Guide Population Health RN also serves as a trusted advisor for providing clinical guidance and directing to the most appropriate high-quality care providers with the objective of improving clinical outcomes while also reducing healthcare costs, e.g., minimizing ED or other unnecessary care visits while increasing utilization of more appropriate care settings, such as primary care doctors. Denver Hybrid role: remote Monday, Wednesday, and Friday; in-office Tuesday and Thursday Shift available: 9:00 am–5:30 pm MST May require occasional holiday and weekend coverage based on member and program needs WHAT YOU’LL DO: Clinical triage to assess the severity of the member’s health concerns using evidence-based protocols and algorithms in directing care to the right healthcare resource in a timely manner without compromising quality or safety Leveraging data-driven analytics in conducting proactive outreach to engage members of clinical interest, e.g., a high-risk, high-spend, rising risk, and evidence of care gaps, with the objective of engaging and assisting members in making more informed care decisions, supporting across their continuum of care and well-being journey with lifestyle and behavior changes Engage members in clinical conversations to best understand their care needs, assess risks, preferences, and care barriers, and then guide and recommend appropriate next steps to improve health outcomes Identify and address barriers preventing members from accessing preventative care or establishing ongoing relationships with primary care providers Assist in scheduling appointments, referrals, and follow-up care to close gaps in preventative care and chronic disease support Clinical navigation support includes but is not limited to personalized condition education, care options, and planning, care compliance, medication adherence, shared decision support, and care coordination Leverages appropriate input and direction from the Rightway clinical lead to determine the best clinical options for more complex member healthcare needs Accurately documents symptoms/complaints, nursing assessment, the guidance provided, and member/caller response Acts in the member's best interest by serving as a health advocate and supporter throughout the member’s healthcare journey Coordinates the completion of screening services for high-risk members by providing care support, adherence follow-up, and care coordination support Member’s trusted healthcare advisor, member experience, and retention focus e.g., longitudinal care education, guidance, and support Develops effective collaboration and working relationships across the Navigation team and organization Maintains a member-centric, customer-driven professional attitude Stay within the RN scope of practice by strictly following our care navigation protocols unless directed otherwise by a provider on the clinical team, and document appropriately when a change occurs WHO YOU ARE: RN or BSN degree Holds an active RN license in a compact state and resides in a compact state Multiple RN state licenses desired: CA, NY, MI, MA 5+ years of direct patient care experience required, preferably in family medicine Triage nursing experience desired Population health, disease management, or similar experience required Care management or chronic condition support experience is desired COMPENSATION: $34.00-$40.86/hr Compensation offered will be determined by geographic location, experience, and qualifications CYBERSECURITY AWARENESS NOTICE In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @ rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment ABOUT RIGHTWAY: Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them. Since its founding in 2017, Rightway has raised over $200mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for our teams, and decrease their healthcare costs HOW WE LIVE OUR VALUES TO OUR TEAMMATES: 1) We are human, first Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding 2) We redefine what is possible We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems 3) We debate then commit We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team 4) We cultivate grit Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity 5) We seek to delight Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success Rightway is proud to be an Equal Opportunity Employer that believes in the strength of diverse thought, beliefs, backgrounds, and education. We foster an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis protected by applicable law. All employment decisions are based on merit, qualifications, need, and performance #J-18808-Ljbffr Rightway