Health Guide


Post Date: 06/01/2018 Job ID: 27573 Category: Registered Nurse

  • This position will be REMOTE.
  • Will work from home but expected to be out in the field travelling 0-25%.
  • Expenses will be reimbursed for mileage and gas.
  • Must have a current, valid driver s license and automobile must be in good working condition.
  • Candidate must be located in Volusia County / Daytona as they will travel locally.

  • Provides ongoing, community-based support for an assigned caseload of health plan enrollees to improve access to care and care coordination.
  • Establishes a relationship with the enrollee, the care coordination team, and providers.
  • Conducts new enrollee outreach and orientation, arranges appointments and transportation as needed.
  • Assists the enrollee in learning to navigate the health care delivery system, community resources, transportation, and effectively use health plan benefits.

  • Conducts outreach and orientation for new enrollees.
  • Gathers information needed to ensure continuity of care and permission to share information.
  • Administers Health and Wellness Questionnaire.
  • For hard to reach enrollees, seeks connection by working with the Peer Support Specialist and leveraging community services, care providers, family members, schools, etc.
  • Assists enrollees in accessing care and ensures care is received.
  • Helps members, as needed, in selecting providers, making appointments, and planning transportation.
  • Contacts enrollee or provider to ensure appointments have occurred.
  • Assists in transitions of care to and from alternative levels of care or settings.
  • Makes follow up care arrangements and ensures post-hospital care is delivered as planned.
  • Meets with enrollee regularly (as determined by individual risks) in order to monitor progress according to the Care Coordination Plan.
  • Reminds enrollee of self-management tools and crisis support.
  • Informs and engages the Care Coordination Team if enrollee has difficulty adhering to the care coordination plan or adhering to treatment and needs additional support.
  • Works with enrollee and family/supports to engage in socialization, work or volunteer related activities, or access community resources and services.
  • Maintains up to date documentation in the Care Coordination Plan and other Health Services tools. Prepares information for Care Coordination Team meetings and as requested, for shared treatment planning sessions.

  • Bachelor's degree is REQUIRED - The degree can be in health or social sciences, behavioral health or related fields.
  • License: LPN (Licensed Practical Nurse) - Highly Preferred.
  • Managed care experience.
  • Experience documenting in a clinical record or information system, preferred.
  • 2+ years of working Mental Health in medical/behavioral health field & working in case management. Care coordination activities & referral of resources. Community service, health care or social services. Community-based or home health care experience required.
  • Experience with individuals who have severe mental illness or chronic medical conditions.
  • Knowledge, Skills, Abilities: Knowledge of local community resources preferred. Familiarity with health care coding (ICD, DSM) preferred.

  • Length: 3-6 month contract.
  • Schedule: Monday-Friday 8: 30 AM - 5 PM

For more information, please contact our office at 877-782-3334.


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