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Transitions of Care RN – Bilingual Preferred
Elevance Health. Participate in delivery of patient education and disease management interventions.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in health coaching, patient education, and chronic disease management, with a strong focus on behavioral assessments and care plan coordination. Proficient in motivational interviewing techniques and effective communication with healthcare providers and members.
Highest-signal resume keywords
RN LicenseHealth CoachingChronic Disease ManagementBehavioral AssessmentsCase Management Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient EducationDisease Management InterventionsMotivational InterviewingClinical AssessmentsCare Plan CoordinationReferral FacilitationMonitoring Intervention EffectivenessHome Health ExperienceChronic Disease KnowledgeDischarge Planning
Soft Skills
CommunicationInterpersonal SkillsProblem-SolvingCollaborationEmpathy
Certifications & Qualifications
AS in NursingRN Compact LicenseBilingual in Spanish
Industry Keywords
Health Coaching PlansPatient-Centered CareCommunity AgenciesBehavioral Health NeedsCOVID-19 VaccinationInfluenza Vaccination
About the role
Key responsibilities & impact- Participate in delivery of patient education and disease management interventions.
- Perform health coaching for members across multiple lines and chronic disease health improvement/management programs.
- Conduct behavioral or clinical assessments to identify member knowledge, skills and behavioral needs.
- Identify and/or coordinate health coaching plan needs addressing assessment objectives and goals.
- Interface with providers and other health professionals to coordinate member health coaching plans.
- Implement and/or coordinate coaching and care plans by educating members about clinical needs.
- Facilitate referrals to health professionals for behavioral health needs.
- Use motivational interviewing to facilitate health behavior change.
- Monitor and evaluate intervention and health coaching plan effectiveness and modify as needed.
- Direct members to facilities, community agencies and appropriate providers/networks.
- Refer members to catastrophic case management.
Requirements
What you’ll need- Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or any combination of education and experience, which would provide an equivalent background.
- Current unrestricted RN license in applicable state(s) required.
- Bilingual in Spanish is highly preferred.
- RN compact license is highly preferred.
- BS in nursing preferred.
- Prior case management experience preferred.
- Experience working with members that have chronic diseases is highly preferred.
- Experience working in home health is preferred.
- Work availability Monday–Sunday with mandatory 2 weekends a month.
- Ability to work 4 ten-hour shifts.
- Required vaccination against COVID-19 and Influenza for certain patient/member-facing roles, unless an acceptable explanation is provided.
- Candidates must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law.
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
- Virtual work arrangement
- Required in-person training sessions