Job description

Description Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Conviva, a wholly owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives.

We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we’re seeking innovative people who want to make positive changes in their Description Healthcare isn’t just about health anymore.

It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Conviva, a wholly owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives.

We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we’re seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry. Responsibilities Conviva Care Solutions is seeking a hard-working and dedicated Registered Nurse to promote and restore patients' health by completing the nursing process and who is interested in being part of a team that focuses on excellent service proactively outreaching to high-risk patients.

Job Description Identifies patient care needs by establishing personal rapport with patients and employs a variety of strategies, approaches, and techniques to manage a member’s physical, environmental, and psycho-social health issues. Responsible for evaluation of patients with repeated ER/Hospital diagnosis and high-risk chronic diagnoses initiating short term quality care plans, care coordination and/or patient education collaborating with the care team and clinicians following nursing division’s philosophies and standards of care set by state board of nursing, nurse practice act and other governing agency regulations. The high acuity nurse will work in partnership with the center’s clinicians, front office staff, care integration team and other team members to anticipate and resolve patient needs. Promotes patient's independence and health care literacy by establishing patient care goals; teaching patients, family and caregivers to understand condition, medications, and self-care skills; answering questions.

Helps coordinate and facilitate High-Risk patient round meetings for the centers assigned. Presenting patients and coordinating follow up plans. Assist patients in identifying and resolving barriers that hinder effective care. Understands organizational, market and center level operating goals and metrics.

Work in other duties as assigned Preferred Qualifications Licensed Registered Nurse with no disciplinary action Ability to work independently under general instructions with a team with good communication and interpersonal skills with the ability to quickly build rapport Ability to work with minimal supervision within the role and scope Prior clinical experience in ER, Hospital and/or ambulatory patient education Prior Call center or Triage experience Prior clinical experience in case management a plus Intermediate knowledge of Microsoft Word, Outlook, Excel and prior EMR exposure plus Bilingual is a plus Education: Associates Degree or Bachelor of Science Degree in Nursing Nursing Diploma Working hours: Monday to Friday 8AM-5PM, remote with 1-2 times monthly in center for meetings, needs availability of a private home office workspace Additional Information Work-At-Home RequirementsTo ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information According to Humana’s COVID-19 policy, vaccination and masking is required regardless of vaccination status (with exception for eating and drinking) for associates working in a clinical setting where patients receive care (e.g., pharmacy retail locations, clinics, home care). The policy only requires the primary series alone (first and second vaccine).

Boosters are encouraged, but not required. Associates have the option to request an accommodation for medical, religious, or other personal needs. Social Security Task Humana and its subsidiaries values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file.

When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website. Interview Format: MODERN HIRE As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.

If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes.

Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. #LI-JM3 Scheduled Weekly Hours 40Read more about this job

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