Evolent Health RN Case Manager - Transitions in Muncie, Indiana
Your Future Evolves Here
Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.
Are we growing? Absolutely-62% in year-over-year revenue growth through 2015. Are we recognized? Definitely. We’re 12th on Forbes’ list of America’s Most Promising Companies for 2015, one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.
Our Transitions Case Managers work from home, and conduct home visits and facility visits. They work with patients that are being "transitioned" - from hospital to home, hospital to SNF, SNF to home, etc. In this role, you will prepare the patient for discharge and following up after discharge.
What You’ll Be Doing:
Along with other members of the Population Health team, conduct comprehensive assessments that include the medical, behavioral, pharmaceutical and social needs of the patient, identify gaps in care and barriers to attaining improved health.
Based on this assessment, and in conjunction with the patient, the patient’s physician and other members of the population health team, create and implement a care plan that will address the identified needs, remove the barriers and improve the health of the patient.
Coordinate care by serving as the contact point, advocate and resource for the patient, their family and their physician, building effective relationships through trust, respect and communication.
Assesses the patient’s knowledge of their clinical condition and provide education and self-management support based on the patient’s unique learning style.
Measure, improve and maintain quality outcomes (clinical, financial, and functional) for individual patients and the population served.
The Experience You Need (Required):
Bachelor’s Degree in Nursing
3-5 years of nursing experience, preferably in home health, ambulatory care, community public health, case management, coordinating care across multiple settings and with multiple providers.
A current Indiana Registered Nurse License (or be willing to obtain immediately).
Finishing Touches (Preferred):
We are looking for team members who possess enthusiasm, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working in a collaborative, team-oriented system.
Knowledge and experience teaching self-management.
Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion; fluency in a foreign language is a plus.
Strong work ethic built on a foundation of proactivity and teamwork.
Ability to navigate ambiguity with the aid of structured problem solving techniques.
Committed to the practice of inquiry and listening.
Embraces electronic health records
Evolent Health is an Equal Opportunity/Affirmative Action Employer