Field RN
20 hours ago
We are seeking a skilled Field RN to join our team in the Chronic Risk Field Nurse - At Home Care Program. As a Field RN, you will be responsible for conducting in-home visits, nursing assessments, patient triage, care coordination, and patient/family education for members assigned to the provider.
Key Responsibilities:- Conduct in-home visits with patients enrolled in the At Home Care Chronic Risk Program and/or Advanced Care Program (ACP)
- Provide up-to-date health care advice/education regarding health promotion, illness prevention, and management of disease utilizing nursing assessment data, patient, family, and approved At Home Care Triage protocol
- Systematically assess patients' actual or potential health care needs, prioritize their urgency, and use creative and effective problem solving/decision making while recommending an appropriate disposition per clinician and protocol direction
- Document nursing assessment, planning, implementation in the electronic health record, and evaluate patients' and family's response to teaching
- Make follow-up telephone calls to patients and referrals as appropriate
- Provide telephonic nursing assessment and triage supported by triage protocols, including timely and accurate triage documentation, escalation, and follow-up
- Initiate medication changes and other orders, as directed by provider in response to a triage call
- Improve health literacy and coach consumers on chronic conditions, including disease process and trajectory, medication education, plan of care, and individualized care goals management in a culturally sensitive and acceptable manner for the patient or caregiver
- Identify problems or gaps in care and offer opportunities for intervention
- Coordinate services and referrals to health programs and participate in patient education and outreach tied to HEDIS initiatives
- Work to improve access to care and manage healthcare cost and utilization
- Complete telephonic nursing assessments, including social determinants of health screenings, post-hospital discharge screenings, triage, and other assessments assigned by provider
- Assist with organizing and running chronic care and/or interdisciplinary care team rounds where high-risk patients and care plans are identified
- Participate in a team approach to create a care plan for the patient
- Maintain and update spreadsheets and documents provided by health plan to prep weekly rounds of documentation
- Post-Acute Management and Coordination
- Participation in weekly care coordination with health plan case management as directed by market needs
- Referral Management Care Coordination and tracking of hospice consults within 24 hours of order placement
- Active, unrestricted RN license in Pennsylvania
- Ability to obtain compact license and/or additional state licensure as needed
- 3 or more years of experience as a Registered Nurse
- Proficient level of experience with Microsoft Office applications and strong technical aptitude
- EMR experience and proficiency
- BSN or ADN degree
- Previous experience working with the geriatric population/chronic condition experience
- Home Health experience
- Triage experience
- Case management experience
- Previous customer service experience
- Previous experience in a telephonic role
- Highly organized, self-directed worker with an ability to function in a high-volume environment
- Strong verbal and written communication skills
- Prior clinical experience in palliative care, end of life, hospice, oncology, ICU, geriatrics is preferred
- Knowledge of STARS and Hedis metrics a plus
Cigna is committed to a healthy workforce. New hires must complete a background check, drug, and nicotine screen to be employed in this role.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
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Philadelphia, Pennsylvania, United States Cigna Full timeJob Title: Field RN - At Home Care SpecialistCigna is seeking a skilled Field RN - At Home Care Specialist to join our team. As a Field RN, you will be responsible for conducting in-home visits, nursing assessments, patient triage, care coordination, and patient/family education for members assigned to the provider.Key Responsibilities:Conduct in-home visits...
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