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Retail Center Navigation Nurse RN (Tallahassee) (West Palm Beach,FL)

Company: Jobs2Careers
Location: West Palm Beach
Posted on: August 4, 2020

Job Description:

Job Summary Love engaging with people to help them achieve better health? Come join theexciting, rapidly expanding Direct-to-Consumer team. We make it our priority toutilize our skills and knowledge to help members make positive changes in theirhealth and well-being. While on this team you will proactively manageprospective customers and members' experience through the health care continuumand delivery system in a Florida Blue Center environment by assessing needs,educating on benefit plans, costs, choices, tools and programs and referring toFlorida Blue programs and resources as appropriate. Contacts and referrals cancome from a variety of internal and external sources, including memberself-service, Care Managers, the member contact center, third party vendorssuch as Health Dialog, wellness/health fairs and GuideWell Enterprise Channels.Present health education classes and programs to members and non-members.Perform Personal Health Assessments on members and provide education on ways toachieve better health. Essential Functions Provides personal, Care engagement and assistance with coordination of health care benefits and services to prospective customers and members in the Direct-to-Consumer Channel by: Performing Personal Health Assessments and providing education on the biometric results Closing member care gaps by accurately documenting test results in the clinical record Presenting health education classes and programs Performing prospective customer and member needs assessment in order to provide the most effective and efficient customer service. Collaborating with various teams to improve the enterprise STARS rating through targeted member campaigns. Participating in outbound call campaigns to members for enterprise partners including RPM, Commercial, U65 and Medicare teams. Facilitating benefit savings for members by proactively educating them on benefit plan impacts and choices. Facilitating problem solving and issue resolution; e.g. assists with access to care issues. Providing referrals to community resources such as elder care. Educating prospective customers and members on benefits structure and care setting alternatives. Educating prospective customers and members and helping them access and understand cost and quality comparisons using member tools such as CareCalc, etc. Providing appropriate referrals to other corporate programs such as Health Dialog, Healthy Addition, New Directions and Care Management. Required Work Experience 0-1 year of related work experience orequivalent combination of transferable experience and education. ExperienceDetails: Nursing experience High school diploma or GED Active Florida RN license Knowledge and understanding of benefit plans Knowledge of healthcare continuum Experience with automated medical systems HealthCoaching Certification within 6 months after hire 3 or more years' managed care, case management,disease managements, clinical nursing, home health care or related experiencewith hands-on patient interaction Sales work experience Knowledge of benefit plans Knowledge of provider contracting andreimbursement methodologies We are an Equal Opportunity Employer/Protected Veteran/Disabled. Associated topics: bsn, ccu, domiciliary, infusion, mhb, psychiatric, registed, registered nurse, surgery, tcu

Keywords: Jobs2Careers, Miami , Retail Center Navigation Nurse RN (Tallahassee) (West Palm Beach,FL), Healthcare , West Palm Beach, Florida

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