Position Description:

Tired of working nights and weekends? Would you like the opportunity to empower people w/ health knowledge so they become active partners in their care? Then consider exploring an opportunity at APS Healthcare, a health services organization dedicated to making a significant, positive impact on the healthcare system by changing behaviors and improving clinical and financial outcomes. Our NW Las Vegas office is actively seeking RN's with strong case management experience!!

The RN Health Coach is responsible for primary contact and liaison activities with one of our commercial clients. This program engages in a collaborative approach with providers to ensure members are accessing services in an appropriate and timely manner.

• Communicating with providers in the community regarding the member's treatment needs and developing appropriate care plans for specialized needs of members
• Monitoring for quality of care and outcome improvement in accordance with clinical indicators as per contractual obligations
• Providing telephonic interventions with high risk beneficiaries Telephonic only
• Interacting with beneficiaries in other risk groups as needed
• Providing telephonic chronic care management, training, medical record reviews and other clinically based activities as assigned, based upon recipients severity of condition
• Activities include assessment, planning, implementing, coordinating, monitoring and evaluating the services and resources necessary to respond to an individual member's health needs
• Educating the participants about their disease state as well as other health issues relating to their plan of care
• Collecting clinical data and entering the APS C3® for tracking and metrics reporting purposes

EDUCATION REQUIREMENTS:
• Graduation from accredited nursing program. BSN preferred.
• Current unrestricted Nevada RN license required.

EXPERIENCE:
• Minimum of 3 years experience in related public sector medical services including experience with quality improvement, medical record reviews, chronic/disease care management and/or primary care case management
• Strong background in case management and discharge planning. CCM preferred.
• Experience managing members with chronic illness, behavior modification, goal setting, and providing constructive feedback preferred
• Strong verbal and written communication skills, prior experience in a training or educational capacity strongly desired
• Previous experience in delivering care management services
• Above average computer/technical skills
• Exceptional communication skills with a customer service focus
• Ability to resolve problems in a non-threatening manner