Role Description
The One Medical at Home (OM@H) Program is seeking an experienced, Remote, full-time Registered Nurse with a Care Management or Case Management background to join our team. This is a fully virtual role supporting patients in multiple states/markets. The OM@H RN will support the care of One Medical Senior Health patients enrolled in the OM@H program by working with internal and external care team members to coordinate patient care. The OM@H RN will create appropriate action plans, triage patient phone calls, and manage transitions of care to acute and post-acute facilities.
The ideal candidate is goal oriented, uses critical thinking and creativity to address challenges, and is comfortable with ambiguity. You are skilled in chronic disease education and care management, and passionate about Seniors’ health and demonstrate outstanding clinical aptitude and judgment when caring for a patient.
Qualifications
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AZ Licensed Registered Nurse (RN) required and ability to obtain licensure or already be licensed in other states/markets (GA, TX, AZ, CO).
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5+ years preferred of RN experience with at least 1 year care coordination/case management experience within the past 5 years.
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Demonstrated experience in complex care settings, senior health, or case management experience (preferred).
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Demonstrated skill in chronic disease education and care management, comprehensive clinical assessment and care plan development.
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Advanced knowledge of utilization management/care management principles.
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Excellent interpersonal communication skills with a variety of audiences via telephone, in person, and electronic means.
Requirements
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Participate in daily huddles and weekly rounding with your assigned market care teams.
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Address tasks assigned to you by various team members for your patient panel.
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Work together with other RNs to respond to incoming patient calls across all markets.
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Respond timely to multiple Slack channels where team members post urgent needs.
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Serve as the primary liaison between partner providers and the patient’s primary care provider (PCP) team.
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Manage assigned patients to help them be more effective at managing their own care.
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Create a patient-centered action plan with each patient and document planned interventions.
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Address and resolve post-discharge barriers and potential readmission factors.
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Communicate significant clinical information regarding assigned patients to other members of the healthcare team.
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Attend care coordination rounds and team huddles to support patient care collaboration.
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Effectively navigate health insurance policies and guidelines.
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Develop a positive working relationship with sponsor care management staff.
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Build strong relationships with health systems and facilities.
Benefits
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Paid sabbatical for every five years of service.
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Free One Medical memberships for yourself, your friends, and family.
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Employee Assistance Program - Free confidential services for team members.
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Competitive Medical, Dental, and Vision plans.
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Pre-Tax commuter benefits.
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PTO cash outs - Option to cash out up to 40 accrued hours per year.
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401K match.
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Credit towards emergency childcare.
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Company paid maternity and paternity leave.
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Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance.
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Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance.
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Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%.
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UpToDate Subscription - An evidence-based clinical research tool.
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Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education.
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Rounds - Providers end patient care one hour early each week to participate in this shared learning experience.
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Discounted rate to attend One Medical’s Annual REAL primary care conference.