eCare Nurse Coordinator

Medicare Advantage Health Plan Miramar, Florida


Description

Position at Clear Spring Health

Group1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability with deep insurance expertise and a can-do culture. Group1001’s culture emphasizes the importance of collaboration, communication, core business focus, risk management, and striving for outcomes. This goal extends to how we hire and onboard our most valuable assets – our employees.

Group1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability with deep insurance expertise and a can-do culture. Group1001’s culture emphasizes the importance of collaboration, communication, core business focus, risk management, and striving for outcomes. This goal extends to how we hire and onboard our most valuable assets – our employees.

Company Overview:

Clear Spring Health is part of Group One Thousand One (“Group1001”), a customer-centric insurance group whose mission is to make insurance more useful, intuitive and accessible so that everyone feels empowered to achieve financial security. Clear Spring Health is dedicated to helping seniors protect their health and well-being by providing Medicare Advantage plans in select counties of Colorado, Illinois, North Carolina, and Virginia, plus Georgia and South Carolina and offers Medicare Prescription Drug Plans in 42 states plus DC.

Group 1001, and its affiliated companies, is strongly committed to providing a supportive work environment where employee differences are valued. Diversity is an essential ingredient in making Group 1001 a welcoming place to work and is fundamental in building a high-performance team. Diversity embodies all the differences that make us unique individuals. All employees share the responsibility for maintaining a workplace culture of dignity, respect, understanding and appreciation of individual and group differences.

Job Summary

The eCare Nurse Coordinator is a professional (RN) who provides ongoing oversight and coordinates care using multiple technology platforms, as well as, work with member’s primary care physician or other qualified healthcare providers to ensure the best outcome for the member. Works with members to create new behaviors with an active technology driven role in their health via the Clear Spring eCare program. By using our eCare digital tablet and platform, the eCare Coordinator will provide oversight of member’s health and assist members with health-related needs.

 

Main Accountabilities:

  • Create open and trusting relationships with Clear Spring members and help them enroll in the new eCare program at Clear spring.
  • Provides a one on one patient experience by educating, supporting and intervening via telephone and video to members through the eCare Tablet.
  • Monitors members using established disease specific protocols;
  • Provides clinical support and initiatives within the scope of nursing license;
  • Develops and maintain ongoing rapport with member and caregivers via phone/or video communication;
  • Assesses and evaluates member’s biometric data; establish parameters;
  • Notifies physician and other providers of changes in member’s condition or status, updates the member’s plan of care, as needed;
  • Accept written doctor’s orders and update member’s plan of care accordingly;
  • Provides member education related to disease specific conditions.
  • Prepares reports to communicate findings to immediate supervisor;
  • Informs department manager of perceived problem areas related to patient care;
  • Demonstrates a professional attitude and sound judgment in interactions with members, physicians or any other health care providers;
  • Functions as a member of an inter-disciplinary care team, as needed;
  • Seeks consultation and direction from immediate supervisor, as appropriate;
  • Provides information about the Remote Program Monitoring (RPM) Program to members and explain the benefits of having chronic conditions managed, assessed and treated;
  • Review member’s labs, medications and preventive screening to identify member’s gap in care;
  • Performs other duties as assigned.


Qualifications:

  • Active Registered Nurse (RN) or RN BSN required
  • Preferred at minimum 3 years of Managed Care Experience
  • Minimal Nursing Experience: 1-2 years or recent acute care experience (i.e. hospital care / ER)
  • Multi-state license required;

 

Skills and Abilities:

  • High attention to details
  • High level of communication skills both verbal and written
  • Data collection and analysis skills problem solving and critical thinking skills
  • Technical writing skills
  • Computer skills
  • Proficient in the use of Microsoft Office, Excel and Power Point
  • Planning and organizing
  • Sound clinical judgement with logical and data-based decision making
  • Excellent customer service skills
  • Ability to work both as a team and independently
  • Ability to engage professionally with members, organizational staff and providers.