Resource RN
MA - Remote, United States
Job Description:
About the Role
The Resource RN provides nursing support to the care team, serving as a bridge between the care management team, hub-based clinical team and members. The Resource RN is available to support and consult on member-specific needs (e.g., in-person visits, clinical education, targeted clinical interventions), and is home based, meaning days will primarily be virtual, but can go into the field on occasion. The Resource RN does not carry a panel, however the RN may work lists of members for targeted clinical reasons.
Responsibilities:
Assess/Intake
Support Member Navigator in ensuring assessments are correctly interpreted and triaged
Case Review and Care Planning
Collaborate with care team members to sign-off on care plans, determine need for escalation and to help problem solve care plan barriers
Serve as clinical resource for team members, assisting with clinical goals, education and acute clinical needs
Clinical Visits, Practices & Procedures
Medication reconciliation, administration, compliance, and education; medication refills per standing protocol or provider order
Ability to meet with members in their community (home, SNF, shelter, hospital), primarily as an extender of the care team providers (e.g., APC, MD/DO, RN, pharmacist).
Provider extension may include: Injections, vitals checks/monitoring, “eyes in the home” type global assessment of member status, minor procedures, in-home medication reconciliation (including pill box organizing and pill counts)
RN Care Manager extension may include: Preventative health screening tools, DME measurement/fit, coordination and education (e.g., setting up glucometer, etc.), in-home disease management education, wound assessment and care, blood drawing (venipuncture and phlebotomy), assessment and care plan reinforcement for chronic conditions (e.g., diabetes, hypertension, CHF, depression)
Address contracted and company prioritized quality gaps and ensure proper chart documentation and codes (ICD or CPT) are included in the encounter as supporting evidence of gap closure
Ensure members have the long term services and support (LTSS) that are clinically needed - provide supporting clinical justifications for LTSS services to ensure members meet criteria for suggested services and communicate this information with the appropriate stakeholders.
Provide care team support from a nursing perspective, and act as a bridge between on-site and field-based care
Follow-Up
Hand-off members to longitudinal care team for continued follow-up
Address and respond to member needs and delegate tasks in timely fashion
Available for referrals to triage needs and provide clinical education
Support members in achieving their care plan goals
Clinical Education and Training
Schedule shadowing/field training for all new RN care managers
Provide training related to medical equipment and provide continuing education for chronic disease management to those with less intensive training (e.g., Medical Assistants, Community Health Partners)
Operations and Reporting
Utilize our care facilitation, electronic health record and scheduling platforms as needed to collect data, document member interactions, organize information, track tasks, and communicate with your team, members, and community resources
Requirements for the Role
Graduate of an accredited school of nursing (R.N.)
Active RN License in the state(s) practicing
Unrestricted Driver's License
3+ years of experience
Comfortable using technology to support members without in-person contact (telephone and text etiquette, virtual visit platforms, etc.)
Understanding of how to use scheduling platforms to ensure accurate appointment scheduling and management
Understanding of how to use electronic health record systems and/or care facilitation platforms to ensure accurate documentation
Proficient in collecting member clinical and demographic data and documenting appropriately in a timely manner
Versed in Motivational Interviewing and Trauma Informed Care principles
Strong problem solving skills - can make difficult decisions and knows when to collaborate with other team members
Able to provide creative solutions to challenges within the healthcare system that are impeding optimization of members’ care and health
Growth and learning mentality, ability to think outside the box, go outside the bounds of “traditional” responsibilities
Adaptable to change and prepared for frequent, fast-paced changes and shifting priorities
We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is:
$87,394 - $106,814 Annually
Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Covid -19 Vaccine - Please Read:
Cityblock requires individuals hired into in-person, member-facing positions to provide proof that they have received the COVID-19 vaccine.
The requirement is based on the safety and effectiveness of the vaccine in protecting against COVID-19, and our shared responsibility for the health and safety of members, colleagues, and community.
Any individuals subject to this requirement may submit for consideration a request to be exempted from the requirement (based on a valid religious or medical reason) on forms to be provided by Cityblock. Such exemption requests are subject to review by Cityblock on a case-by-case basis and approval is not guaranteed.
Medical Clearance (for Member-Facing Roles):
You must complete Cityblock’s medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.
ApplyJob Profile
Equity program Flexible schedule Health insurance Life Insurance Paid Time Off Professional development Remote work Retirement benefits Sick Leave
Tasks- Assessments
- Care planning
- Clinical education
- Community visits
- Document member interactions
- Medication management
- Nursing support
- Training new staff
Care management Care Planning Case review Chronic Disease Management Clinical Education Community Health Compliance Documentation Education and Training Electronic Health Records Healthcare Medication Reconciliation Motivational interviewing Nursing Training Virtual visit platforms
Experience3 years
EducationBusiness DO Nursing Nursing Diploma RN
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9