• Capable clinician who has acquired broad experience in caring for patients, 

• Sevres as a resource to colleagues and strong advocate for patients/families. 

• Consistently communicates effectively and respectfully.

• Delivers safe, dependable and effective care to a patient population independently utilizing the nursing process. 

• Demonstrates developed assessment skills. Recognizes the impact of nursing care on patient outcomes. 

• Documents the nursing process accurately and in the appropriate format (e.g. computer, clinical pathway, and chart). 

• Plans and implements patient care independently. 

• Demonstrates effective listening skills. 

• Individualizes care based upon the knowledge of the patient and the family. 

• Identifies and implements a course of action in non-routine situations. 

• Respects and maintains confidential information. 

• Collects, reports, analyzes and provides data on an ongoing basis and as required by physician and/or interdisciplinary teams in accordance with organization standards. 

• Graduate of an accredited school of nursing. (BSN Preferred)

• 2 yrs of recent concurrent Med/Surg Tele nursing experience within the past five years. 

• Must have a valid, active unencumbered Georgia or Multi-State Nursing license.

• BLS and ACLS certification required.

A bit about us: 

Devoted Health is a Medicare Advantage insurance startup, co-founded by brothers and health tech veterans Todd & Ed Park. We’re on a mission to change healthcare — how it’s paid for, how it's delivered, and how it's experienced. We're guided by the belief that every person should be treated like a member of the family — with care and respect, and a genuine commitment to their health and well-being. It's why we’re building a team of smart, talented people with big hearts to develop a new kind of healthcare company - one that combines compassion with health insurance, clinical care, and technology.

A bit about this role:

As a Clinical Guide, you'll have the opportunity to make a difference in the lives of our members.  You'll be responsible for providing member support through assessment, care and conservation. You'll serve as an advocate for our members, coordinating care and ensuring they have the necessary resources and support to achieve their health goals (recovering from an illness, improving quality of life, overall well-being, etc.) Our Clinical Guide is committed to integrity and excellence and empowering members to confidently navigate the healthcare system and live healthier lives.  Our ideal Clinical Guide is caring, compassionate and solutions-oriented, and is enthusiastic about providing an outstanding experience for Devoted Health’s members.

Responsibilities will include:

• Engage with members and understand their needs, using technology and data to better understand the member and any unspoken needs
• Conduct holistic assessment to identify co-morbid conditions, ED/ hospitalization history, medications, psycho-social factors, and member values and preferences
• Collaborate with our PCP partners
• Develop care plans in partnership with members and their caregivers - problems, goals, interventions - continuously evaluating the member’s progress
• Apply knowledge to suggest safe exercise routines, dietary plans, meditation or stress reduction techniques
• Work closely with Local Service Guides to identify community-based organizations to support the member in meeting their goals
• Collaborate with members, providers, and caregivers to ensure a positive outcome
• Explain complicated medical terms in plain language
• Educate members on appropriate care and settings based upon their healthcare needs
• Support members in understanding diagnostic tests and treatments, including costs, risks, and alternatives so they can make an informed decisions
• Prepare members for their inpatient and outpatient treatments and coordinate post-treatment care
• Support and coach members to improve management of their chronic conditions, including medication adherence and compliance

Attributes to success:

• A desire to make a change in the health care experience: you love to serve and make a difference
• Proven success in building relationships
• The ability to adjust your tone and approach to different people
• The ability to articulate and break down complex information
• Adaptability and comfort in a dynamic, startup environment
• Transparency in your work - what’s going well and what’s not

Must-haves:

• A unrestricted RN license
• A minimum of 4 years of RN experience
• The ability to comfortably multi- task: you’ll be listening, talking and typing all at the same time
• Team player mentality with a can-do attitude

Nice-to-haves:

• Bilingual in English and Creole or Spanish
• Health insurance experience, particularly Medicare Advantage

If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you! 
 

• Provides clinical and operational oversight of each Health Services initiative which includes Case Management and the analysis of clinical data to drive performance improvement.
• Reviews and revises Case Management Program Description annually or as indicated by contract or accreditation requirements.
• Conducts annual evaluation of Case Management programs per contract or regulatory requirements.
• Identifies, assesses, develops, and implements cross-functional, cross-departmental work processes that impact various departments or the company to improve clinical outcomes.
• Identifies opportunities to improve clinical care, customer service and internal business processes.
• Represents Medical Management for Medicaid Special Programs, including Foster Care and Medallion Care System Partnership (MCSP).
• Ensures assessment, planning, implementation, tracking, monitoring, coordination, reconciliation and evaluation of Embedded Care Management programs in a variety of settings.
• Collects, reports, trends, and analyzes Care Management program elements for departmental productivity and performance outcome reporting.
• Validates Care Management quality audit results for accuracy and individual developmental needs.
• Develops, implements, and monitors policies and procedures for contract and accreditation compliance.

MINIMUM EDUCATION REQUIRED

• Minimum education degree of Bachelors of Science in a health care field
• License – Current Registered Nurse licensed to practice nursing in Virginia;
• Certified Case Manager (CCM) preferred
• Master’s degree preferred

SPECIAL KNOWLEDGE AND/OR SKILLS

• Highly motivated individual with the ability to work independently as well as part of a team
• Excellent verbal and written communication skills
• Knowledge of NCQA and HEDIS
• Knowledge of Medicaid and Medicare programs
• Demonstrated knowledge of Care Management principles
• Strong analytical problem-solving, time management, and organizational skills
• Proficient Microsoft Office product computer skills
• Proficient in Six Sigma or other performance improvement methodology
• Ability to travel frequently to various VPHP locations throughout Virginia
• Knowledge in program start-up and/or enhancements                                                                                       

WORK BACKGROUND/EXPERIENCE

• Minimum of 5 years of case management experience preferably in a managed care setting
• Minimum of 5 years of management experience
• Knowledge of utilization management, preferably service authorizations related to waiver services
• Minimum of 2 years of experience in Medicaid and Medicare managed care

PHYSICAL REQUIREMENTS

• Physical health sufficient to meet the ergonomic standards and demands of the position.
• Regular local & state travel will be required

Hello!

Aveanna Healthcare is currently looking for full time and part time registered Nurses/Licensed Practical Nurses. Aveanna is the largest pediatric private duty nursing company and we provide services in home and school settings.
 

Why work for Aveanna?
-Thorough training, both initial and ongoing
-Flexible schedules for the perfect work-life balance
-Electronic charting eliminates the need to drop off or mail paper notes and allows you to spend more time with your patient
-Access to a clinical supervisor 24/7 so you can meet your full potential as a healthcare professional while receiving the support you need
-Scholarship programs that provide continuing education to help you advance in a specialty or to LPN/LVN or RN programs
-Advancement opportunities – we promote from within
-Weekly pay via multiple payment options, including debit card

Please send me an email at zarina.jamal@aveanna.com or call the Brookline office at 857-576-6924 to schedule an interview.

Looking forward to meeting you!
 

Zarina Jamal, MS

Client Services coordinator

Aveanna Healthcare

Hello!

I wouto apply for a Registered Nurse/Licensed Practical Nurse role with Aveanna Healthcare. Aveanna Healthcare is the largest pediatric private duty nursing company and we provide services in home and school settings. We are currently looking for   Based on your profile, your skill set would be an excellent asset to our team.

Why work for Aveanna?
-Thorough training, both initial and ongoing
-Flexible schedules for the perfect work-life balance
-Electronic charting eliminates the need to drop off or mail paper notes and allows you to spend more time with your patient
-Access to a clinical supervisor 24/7 so you can meet your full potential as a healthcare professional while receiving the support you need
-Scholarship programs that provide continuing education to help you advance in a specialty or to LPN/LVN or RN programs
-Advancement opportunities – we promote from within
-Weekly pay via multiple payment options, including debit card

Please send me an email at zarina.jamal@aveanna.com or call the Brookline office at 857-576-6924 to schedule an interview.

Looking forward to meeting you!

Zarina Jamal, MS

Client Services coordinator

Aveanna Healthcare