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Department/Unit: HBD - Peds Counseling & Behavioral Health Work Shift: Day (United States of America) RN - OutPatient Pediatric Behavioral/Developmental Clinic We are looking for a caring and compassionate RN with excellent attention to detail and clinical reasoning skills to join our outpatient Pediatric Developmental & Behavioral clinic.
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Job Description :A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
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Committed to the daily ambulatory nursing practice performance primarily is composed of focused assessment supporting telephonic patient triage, patient education, direct care interventions, collaborative leadership, care coordination, and clinical and clerical support to providers and team.
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The Utilization Management (UM) Coordinator I is fundamental to the utilization management team and receives, researches, and coordinates initial and follow-up action related to clinical documentation and requests from a variety of sources.
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A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
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Your responsibilities will revolve around conducting comprehensive telephonic symptom triage for GI patients and managing referrals, with a particular emphasis on GI experience, telephonic nursing, hepatology, motility/esophageal disorders, specialty ambulatory care, and GI/hepatology procedural experience.
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Provide telephonic support for escalated calls from triage nurse. Develop and implement clinical plans of care for adult patients facing chronic conditions (e.g., diabetes, COPD, CHF, debility, dementia.
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The CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs. Conduct door-to-door engagement outreach for patients with telephonic barriers.
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Conduct telephonic outreach to members within designated geographic area to introduce the Somatus program and encourage enrollment to build their patient caseload. The individual taking this role will manage his/her caseload through in-person, telephonic and electronic means of communications and coordination.
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Clerical / Other Accountabilities: Responsive and proactive telephonic patient care - including care coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health services.
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Responsive and proactive telephonic patient care - including care coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health services.
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The Care Manager acts as the clinical link with the member’s Primary Care Team (PCT) which includes the Member, Caregiver(s), Primary Care Provider, community agency providers, pharmacists, social workers, and others involved with the Member’s care.
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Experience: Minimum of five years clinical experience in hospital, home health, or community setting with a recent focus on acute and/or chronic-care management, required. The RN Coach will function in a telephonic virtual care center and is part of the Care Connections Team which collaborates with physicians, mid-level providers, staff, and other health care professionals to provide coordination of care across the health care continuum.
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Communicate with other Upperline clinical team members as well as patient's community providers, to coordinate optimal care and resources for the patient and their family. Ideal candidates will have experience with the following: primary care internal medicine, geriatric care andor home-based care, palliative or hospice care andor previously worked in a value-based care environment.
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The Registered Nurse will perform telephonic, patient-centered clinical consults focused on Care for Older Adults annual pain and functional assessments. The WellMed Quality Clinical Programs team supports WellMed Medical Management by delivering patient-centered, clinically collaborative telephonic outreach to help people live healthier lives.
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telephonic clinical jobs
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