RN Advocate
Company: CINQCARE
Location: Buffalo
Posted on: March 18, 2023
Job Description:
RN AdvocateCINQ Connect NY LLCOverviewThe RN Advocate reports to
the Director of Clinical Operations or designee, CINQCARE,
responsible for -member engagement of the high-risk population with
an emphasis on event-driven care management leveraging care
pathways and evidenced based guidelines tailored to black and brown
populations. - Care Management includes assessing healthcare needs,
identifying problems and opportunities for improvement,
implementing -patient Action Plans, -managing the patient care
transition process, assisting patients throughout care episodes,
coordinating, and facilitating care for patients with complex,
chronic medical and mental health conditions, providing disease
education, and promoting evidence-based healthcare services. The
individual in this position works as part of an interdisciplinary
team to ensure high quality outcomes for patients/families
struggling with chronic disease management. -It is critical that
care management be done in conjunction and always with the
Caregiver, including their and the member's signoff. Conducting
Caregiver assessments are also part of the Care Management
process.Primary Responsibilities The RN Advocate will have the
following responsibilities:
Develops Alert-driven care pathway
templates by condition with risk levels and member actions by event
type.Uses Care Pathway templates by Chronic Condition with Alerts
to develop Member Action PlansDeploys Remote Patient Monitoring and
Patient Self Reporting for High-Risk Chronic ConditionsConducts
in-home or tele-health assessments, when necessaryResponds
real-time to patient alerts and is in active communication with the
member and caregiver via text and phone. -Monitors remote patient
monitoring tools and notify interdisciplinary team when follow-up
is required to address out of range results and or clinical
outcomes.Provide care coordination for patients including patient
navigation, chronic disease management/education and
interdisciplinary collaboration while complying with department
policies and procedures and other contractual requirements.Work
with patient and care team to conduct assessments that result in a
-Member Action Plan prioritized by the patient -and -care givers.
Track -Member Action Plan -outcomes, interventions, and continue to
reassess the patient's needs as appropriate. Establish appropriate
timeframe for frequency of follow-up activities and provide closure
and referral services as patients move through the care
continuum.Engage patients in taking a proactive role for managing
their health, medications, treatment and mental health needs, and
follow-up appointments and refer patients to the appropriate
community-based organizations or other programs.Follow
evidence-based guidelines and contact standards to facilitate
closure of gaps in care and encourage and use of in network
services -and determine when in-home services are needed and
ordered.Use the electronic medical record -or Care Management
platform -to conduct care coordination activities and comply with
associated policies and procedures including those for workflow and
consistent documentation.Participate in team-based rounds to
support and contribute to ongoing program design and development as
lessons are learned from the field and process improvement work
performed within in the department.Reassesses Member Action Plan
Post DischargeDemonstrates an ability to identify and shift
priorities within work assignment to effectively manage patient
care load.Collaborates daily with interdisciplinary team for
assigned patients to discuss patient care planning and care
facilitationGeneral DutiesThe RN Advocate shall have following
duties:
Collaboration: The RN Advocate will
ensure that clinical capabilities form a cohesive offering,
including by working closely with other business divisions to learn
their needs, internalize their knowledge, and define solutions to
achieve the business objectives of CINQCARE.Knowledge: The RN
Advocate will provide subject matter expertise in the area of
clinical solutions, including assessment and event-based care
managementCulture: The RN Advocate is accountable for creating a
productive, collaborative, safe and inclusive work environment for
the team and as part of the larger Company.Qualifications The RN
Advocate should have the following qualifications:
Education. Active New York state
Registered Nursing license. BSN requiredExperience. At least 5
years of relevant clinical experience experience. Ideal candidates
will have 3+ years of relevant care management experience in the
health plan, home health and or hospice.Entrepreneurial. CINQCARE
seeks to fix gaps that have persisted for generations in the
delivery of care to Black and Brown populations. This position is
accountable for ensuring CINQ is positioned to innovatively deliver
on its promise.Communication. Excellent verbal, written
communication, and presentation skills; ability to clearly
articulate and present concepts and models in an accessible manner
to CINQCARE's team, investors, partners, and other stakeholders.
Proficiency in all Microsoft Office applications.Relationships.
Ability to build and effectively manage relationships with business
leaders and external constituents.Culture. Good judgement,
impeccable ethics, and a strong team player; desire to succeed and
grow in a fast-paced, demanding, and entrepreneurial
Company.Location: Buffalo, NY -Compensation: $65,000-$75,000
-Hybrid: Mainly Work from Home, will/may make visits to patient
homes, hospitals, facilities, CINQCARE -practices and CINQCARE
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Keywords: CINQCARE, Buffalo , RN Advocate, Healthcare , Buffalo, New York
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