Job Overview
Employment Type
Full-time
Compensation
Type:
Hourly
Rate:
Range $20.00 - $26.00
Work Schedule
Standard Hours
Benefits
Medical insurance
Dental Insurance
Vision Insurance
401(k) retirement plan
Paid Time Off
short-term disability
long-term disability
Life insurance
Job Description
CenterWell Senior Primary Care is a leading healthcare provider dedicated to delivering comprehensive, proactive primary care services specifically designed for seniors. Part of Humana Inc., a respected name in the health and wellness industry, CenterWell offers innovative, patient-centered care through integrated teams of physicians, nurses, behavioral health specialists, and other healthcare professionals. The company emphasizes personalized experiences by spending more time with patients to understand and address their unique health needs, thereby fostering better outcomes and improving quality of life. With a focus on whole-person health, CenterWell goes beyond traditional clinical care to consider emotional, social, and environmental factors that... Show More
Job Requirements
- Registered Nurse RN license
- Minimum of 4 years of experience working in human services and navigating community-based resources
- Must reside in Charleston SC metro
- Ability to work a 40 hour work week Monday through Friday 8 00 AM to 5 00 PM
- Flexibility to travel locally to patients' homes treatment facilities community-based settings and assigned clinics
- Maintain patient confidentiality in accordance with HIPAA
- Adhere to general policies related to fire safety infection control and attendance
Job Qualifications
- Registered Nurse RN license
- Minimum of 4 years of experience working in human services and navigating community-based resources
- Familiarity with state Medicaid guidelines and application processes preferred
- Experience working with patients with behavioral health conditions and substance use disorders preferred
- Prior experience conducting home visits and knowledge of field safety practices preferred
- Advanced clinical acumen
- Ability to multi-task in a fast-paced work environment
- Flexibility to fluidly transition and adjust in an evolving role
- Excellent organizational skills
- Advanced oral and written communication skills
- Strong interpersonal and relationship building skills
- Compassion and desire to advocate for patient needs
- Critical thinking and problem-solving capabilities
Job Duties
- Conduct transitions of care management for a subset of the patient population including ER and hospital follow ups
- Provide triage guidance and supportive consultation to other team members handling escalated complex cases
- Develop care plans leveraging 5Ms Geriatric best practice framework
- Develop a wholistic view of patient needs related to social determinants of health
- Identify existing barriers to engagement with necessary resources and supports
- Provide education around maintenance of chronic health conditions as well as available options for behavioral care and social support
- Serve as liaison between the patient and direct care providers assisting in navigating both internal and external systems
- Initiate care planning and subsequent action steps for high-risk members coordinating with interdisciplinary team
- Support patients' self-determination and motivate patients to meet the health goals they have identified
- Refer patient to necessary services and supports including assistance with transportation food insecurity navigation of and application for benefits reduce costs associated with prescription medications organize schedules of follow up appointments alleviate social isolation
- Lead interdisciplinary team meetings when indicated
- Assess patient’s family system and conduct family meetings with patient and family when needed
- Participate in creation and facilitation of team training content
- Conduct group psychoeducation and support groups within the Center
- Perform all other duties and responsibilities as required
- Participate in and lead interdisciplinary review of and coordination around complex patients
- Maintain patient confidentiality in accordance with HIPAA
- Document patient encounters in medical record system in a timely manner
- Follow general policies related to fire safety infection control and attendance
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
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