Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Conviva, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At Conviva, we’re seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

Responsibilities

The RN Primary Care Case Manager employs a variety of strategies, approaches and techniques to manage a member's health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

In addition to being a great place to work, CenterWell Senior Primary Care also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:

• Medical Benefits
• Dental Benefits
• Vision Benefits
• Health Savings Accounts
• Flex Spending Accounts
• Life Insurance
• 401(k)
• PTO including 7 paid holidays, one personal holiday, one day of volunteer time off, 18 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
• And more!

Required Qualifications

• Active RN license in the state of employment (without restrictions), and ability to obtain other state RN License/s as needed
• 2 or more years of relevant experience within chronic disease management
• Experience working with the geriatric population
• Experience within acute inpatient care
• Experience with Cardiac and pulmonary, hospital, case management
• Intermediate to advanced proficiency with Microsoft Word, Excel and Outlook
• Detail oriented and adaptable in a fast-paced environment
• Strong verbal and written communication skills
• Must have valid Drivers license
• Strong emotional intelligence , self-motivator and communication skills to work with all levels of the community
• Strong team player with the ability to evolve patient awareness
• Experience with Electronic Medical Records; e-Clinical Works (e-CW)
• ICD-10, CPT codes, HCPCS knowledge preferred
• Managed care experience including knowledge of HEDIS and CMS guidelines

Preferred Qualifications

• Bachelor's degree in Nursing (BSN)
• Case Management Certification (CCM)
• Prior experience with Medicare & Medicaid recipients
• Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources
• Knowledge/Experience with HEDIS
• Fully Bilingual (Spanish)

Scheduled Weekly Hours

40