RN Care Manager

March 29

🎸 Tennessee – Remote

Although this job is listed in Tennessee, this company may be open to hiring remote in other states.

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Wellvana

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Wellvana is a company focused on transforming primary care through value-based care models. They provide essential support to independent physicians and health systems, helping them navigate the challenges associated with transitioning from fee-for-service to value-based payment structures. Wellvana emphasizes a personalized approach, offering data-driven insights and a range of wraparound services designed to improve patient outcomes and reduce healthcare costs. Their aim is to empower healthcare providers to thrive in the evolving landscape of primary care.

Value-based care • care management • health tech

201 - 500 employees

Founded 2018

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

💰 $84M Series B on 2023-03

📋 Description

• The healthcare system isn’t designed for health. We’re designed to change that. • We’re Wellvana, and we help doctors deliver life-changing healthcare. • Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it. • Our enlightened approach—covering everything from care coordination to coding to marketing— ties the healthy outcomes of patients directly to healthier earnings for primary care providers. • Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. • Patients, in turn, get an elevated experience with coordinated 24/7 care that is nothing short of life changing. • We're looking for a Registered Nurse with a compact license who embraces change and is not afraid of a challenge. • The RN Care Manager is responsible for managing rising risk and high-risk members to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes. • The RN Care Manager will formulate and implement a care management plan that addresses the members identified needs by assessing concerns/barriers, resources, and care goals. • The RN Care Manager will advocate for the member and support the member in navigating the health care system via ongoing engagement. • The RN Care Manager provides education and resources to members and/or responsible parties, to reduce preventable emergency room visits, hospitalizations, and re-admissions.

🎯 Requirements

• Education Associates degree in nursing required • BSN Preferred • Licensure/Certification Must hold a current/active compact RN license • Licensure in additional states such as: IL, MI, NY, CA, NV, and PA a plus • Required Experience Minimum two years of nursing-related care experience, preferably in a primary care office or call center setting • Case Management, Care Management, Care Coordination, telephone nursing management, and/or Disease Management experience • Required Knowledge, Skills, and Abilities Knowledge of care management concepts along the continuum of care • Advanced clinical knowledge of chronic disease states • Motivational and behavioral interviewing • Experience and ability to use Microsoft Office products and word-processing software daily • Excellent written, verbal, and listening communication abilities. • Communicate appropriately and clearly to members, coworkers, and providers • Ability to manage conflict, stress, and multiple simultaneous work demands in an effective and professional manner • Ability to successfully articulate the process of attaining goals and outcomes of care management • Ability to apply clinical knowledge and experience in a care management role • Ability to care to manage diverse populations without applying one’s own personal values • Ability to think critically and analytically and work with minimal supervision within the nursing scope of practice. • Ability to evaluate and appropriately respond to verbal and non-verbal communication from patients in diverse stages of development.