Equality Health is an Arizona-based population healthcare company focused on improving care delivery for underserved populations through culturally-sensitive programs that improve access, quality, and patient trust. Our mission is to ensure diverse populations receive quality healthcare that improves and enriches their lives. We have developed our product portfolio around centralized technology, services and network designs intended to organize a better healthcare delivery system for cultures that have struggle with integrating into the tradition one-size-fits-all U.S. healthcare system.

The RN, Care Management Intake Specilaist is primarily responsible for prioritizing cases for care team outreach and partner interaction. This individual may complete intake assessments via a member data review and member interaction. This individual works closely with our network of primary care providers, care managers and other clinical teams as part of a field and office based clinical operations care team focused on improving patient outcomes and managing avoidable costs. This individual serves as a subject matter expert and provides consultative support to the broader care management team and our network providers as necessary. This role will also be expected to maintain an appropriately sized patient caseload. Patient caseload will consist of patients requiring medication reconciliation post-discharge and high-risk patients requiring RN level care coordination.

Responsibilities:

• Perform structured assessments including clinical, quality of life, mental, substance use, spiritual, cultural, social and health literacy
• Serve as a key member of the Care Management support staff in a collaborative team effort designed to support appropriate escalation of high need members and result in quality outcomes for the member and family/caregivers
• Conduct member interviews and review member charts; document health status and barriers to care; determine coping mechanisms
• Document assessments and activities in designated formats
• Collaborate with other care team members and Equality Health Network providers in planning and carrying out member goals
• Participate in member and family education related to health education and chronic condition management; promote self-efficacy and self-management plans
• Refer members to community programs and services; recognize and utilize and available resources or materials
• Develop organization-wide approaches that implement problem solving and analyses of current systems to identify opportunities for improvement
• Meet regularly with health plan leadership to discuss member identification and outreach
• Serve as resource for care team members for clinical questions or concerns
• Foster positive change and teamwork within the transitional care team
• Participate in the quality improvement projects within the department
• Collaborate with all appropriate departments to design, evaluate and improve patient care systems and processes
• Commitment and passion to improving healthcare delivery and alleviating disparities while meeting client-contracted agreements
• Attend and participate in patient care reports, patient care conferences, team conferences, professional staff conferences and other appropriate educational activities only to the extent that such attendance and participation is relative to his/her assigned cases and/or the performance of services
• Perform a variety of activities to provide meaningful data to providers, patients and their families

Required Knowledge, Education & Experience:

• Active and current RN licensure from the AZ State Board of Nursing without restrictions
• Minimum three (3) years of RN experience; preferred experience working in a hospital or home health nursing, or in an area relevant to case management
• Demonstrated knowledge of nursing policies, procedures, protocols, treatments, standards of care and the Nurse Practice Act (NPA)
• Strong written, verbal and interpersonal communication skills
• Data analysis: Ability to manipulate and interpret large data sets needed to prioritize clinical care
• Microsoft Excel proficiency in manipulating data and producing reports
• Proficient using Microsoft Office applications and web-based technologies
• Experience with and comfortable using keyboards, laptops, tablets and other electronic and portable devices for documentation for documentation and telehealth visits

Highly Preferred Skills, Abilities & Qualifications:

• Bachelor of Science, Nursing (BSN) degree
• Bilingual; able to read, write, and speak Spanish and English proficiently
• Previous experience in a community health setting and with the AHCCCS system of care
• Experience working with a diverse population and a strong understanding of multicultural issues
• Demonstrated knowledge and experience with crisis intervention techniques
• Successful record of managing multiple projects with demonstrated ability to work independently in rapidly-changing environments
• Experience designing population health programs targeting chronic health conditions
• Experience with healthcare database and care management systems
• Experience with care coordination and case management for health plan populations
• Experience collaborating with physicians and facility administrators to solve problems

Physical Requirements:

• Walking, standing, sitting, lifting 15 lbs. frequently
• Capable of working virtually from a home-based office with high speed internet
• Frequent screen reading

Equality Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.