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Transitions of Care RN 100% Virtual, CareBridge Multistate
JR184964 Anticipated End Date: 2026-03-24 Position Title: Transitions of Care RN 100% Virtual, CareBridge Job Description: Transitions of Care RN 100% Virtual, CareBridge CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services. Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Hours: Monday – Friday plus 2 weekends a month (4, 10 hour shifts)
- Eastern Time: 8:00AM – 7:00PM
- All other time zones: 7:00AM – 6:00PM, 8:00AM -7:00PM or 9:00AM -8:00PM
- Conducts behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs.
- Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments.
- Interfaces with provider and other health professionals to coordinate health coaching plan for the member.
- Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs.
- Uses motivational interviewing to facilitate health behavior change.
- Monitors and evaluates effectiveness of interventions and/or health coaching plans and modifies as needed.
- Directs members to facilities, community agencies and appropriate provider/network.
- Refers member to catastrophic case management.
- 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.
- RN compact license is highly preferred
- BS in nursing preferred
- Prior case management experience preferred
- Bilingual in Spanish or Mandarin is highly preferred
- Experience working with members that have chronic diseases is highly preferred
- Experience working in home health is preferred