Registered Nurse Care Coordinator in Juneau, AK

Job Description: Position Overview: The Registered Nurse Care Coordinator is essential in enhancing member health outcomes through effective implementation of the Value-Based Care Management program via high-quality telephonic case and care management. This role involves collaboration with members, caregivers, providers, and interdisciplinary care teams to develop and execute impactful care plans for CareFirst members. Key Responsibilities: • Engage with members, caregivers, and providers over the phone to craft comprehensive care plans, pinpointing key interventions to meet members' needs. • Act as a vital member of the care team, collaborating with primary care providers, specialists, and other healthcare professionals to achieve health goals through cooperative care plans. • Regularly assess members' care needs and their progress, making necessary adjustments to care plans based on evolving health status and member preferences. • Provide patient education in line with care standards, utilizing the most effective communication strategies tailored to individual members. • Identify community resources and evaluate Social Determinants of Health to enable appropriate referrals. • Assist members in coordinating additional tests, imaging, and specialist consultations as necessary. • Conduct medication reconciliation to monitor effectiveness and identify potential drug interactions or side effects. • Oversee transitions of care, ensuring seamless handoffs between healthcare providers as member needs evolve. • Maintain thorough documentation to reflect the quality of care plans, recording members' progress and challenges in reaching their goals. • Adhere to the guidelines of the Value-Based Care Management Program and achieve productivity and quality standards established by leadership. • Engage in required training and actively participate in team meetings for ongoing clinical development. • Stay updated on clinical advancements through self-directed learning. Desired Skills and Attributes: • Strong skills in motivational interviewing and case management. • Highly organized, self-directed, capable of multitasking with exceptional problem-solving abilities. • Excellent oral and written communication skills with a strong emphasis on customer service and fostering positive interactions. • Ability to build effective partnerships across various levels of staff and departments. • Demonstrate resilience in a fast-paced environment, managing shifting priorities and deadlines. • Proficient in extracting and synthesizing relevant medical information into clear, comprehensive documentation. • Strong ability in data analysis and reporting. • Experience in documentation of medically-based care plans. • Familiarity with working in matrix organizational structures. Qualifications: • Current multi-state compact Registered Nurse license in residence state required; BSN preferred. • Training in motivational interviewing is highly desirable. • Minimum of 3-5 years of clinical experience in telephonic case management or related fields. • Competence in using electronic medical records, word processing, spreadsheets, and presentation software. • Comfortable with various communication technologies, including Microsoft Teams, Word, Excel, and Outlook. • The role requires a home office that meets HIPAA standards along with appropriate internet connectivity. • Effective communication skills are essential for interaction with team members, medical professionals, and plan representatives. • Aptitude for analyzing and interpreting scientific and technical materials to cater to diverse audiences. Note: This position requires immediate disclosure of any events affecting eligibility to work on Federal healthcare programs. Sharecare, an Equal Opportunity Employer, evaluates candidates without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, or other protected status.