Clinical Guide Population Health, RN
2 weeks ago
ABOUT THE ROLE:
Under the general supervision of the Clinical Lead, the Clinical Guide Population Health (RN) performs clinical triage, condition support, care planning, clinical education, and care coordination functions in supporting Rightway members with navigating, accessing, and best managing their care needs. The Clinical Guide Population Health (RN) also serves as a trusted advisor for appropriately directing care to high-quality providers with the objective of improving clinical outcomes while also reducing healthcare costs e.g. minimizing ED or other unnecessary care visits while increasing utilization of more appropriate care settings, such as primary care doctors.
WHAT YOU'LL DO:
- Clinical triage to assess the severity of the patient's health concerns using evidence-based protocols and algorithms in directing care to the right healthcare resource in a timely manner without compromising quality or safety
- Clinical navigation support to include but not limited to: condition education, care options, and planning, care compliance, medication adherence, shared decision support, and care coordination
- Appropriately leverages input and direction from the Rightway provider to determine the best clinical options for those more complex patient health care needs.
- Accurately documents symptoms/complaints, nursing assessment, the guidance provided, and member/caller response.
- Acts in the best interest of the member by being a health advocate and supporter in the member's healthcare journey.
- Proactive outreach engagement of high-risk, rising risk, and gap in care members and assists them in making the necessary lifestyle and behavior changes.
- Coordinates the completion of screening services in high-risk patients by providing care management and adherence follow-up and care coordination support.
- Member's trusted healthcare advisor, member experience and retention focus e.g. longitudinal care education, guidance, and support
- Develops effective collaboration and working relationships across the Navigation team and organization.
- Maintains a patient-centric, customer-driven professional attitude.
- Stay within the RN scope of practice by strictly following the protocols set by Clear Triage unless directed to do otherwise by a provider on the clinical team, then documenting appropriately when a change does occur.
- RN, ADN or BSN degree
- Holds an active RN license in compact state
- 5+ years of clinical experience required, preferably in family medicine
- Triage nursing experience desired
- Care management / chronic condition support experience desired
ABOUT RIGHTWAY:
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient's care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Since its founding in 2017, Rightway has raised over $130mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global at a valuation of $1 billion. We're headquartered in New York City, with a satellite office in Denver. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
HOW WE LIVE OUR VALUES TO OUR TEAMMATES:
We're seeking those with passion for healthcare and relentless devotion to our goal. We need team members who will:
- We are human first
- We redefine what is possible
- We debate then commit
- We cultivate grit
- We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members' care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members' success.
Rightway is a healthcare company looking to improve healthcare outcomes for everyone, everywhere. With that in mind, we have to consider what is good for the health of our team, the company, and the communities we operate in. As such, Rightway has determined a mandatory COVID-19 vaccination policy for all employees, in combination with other safety precautions, is the best way forward.
Rightway is PROUDLY an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.
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