The bilingual Spanish/English RN has the responsibility for supporting the goals and objectives of the care enhancement program by providing high quality telephonic support in an appropriate, efficient and cost effective manner while ensuring high quality care
Provides clinical assessments, gathers health information, provides health education, counseling on standards of care, and analysis and evaluation of utilization to members/participants in relation to their scope of practice
Responsible for early identification of those assigned members/participants who are at risk for increasing acuity, providing support to members/participants and their Primary Care Provider according to the disease management program intervention guidelines
May coordinate with the Primary Care Provider and all other members/participants of the health care team to support appropriate total health care management and ensure cost effective, appropriate resource utilization and quality outcomes
May directly interact with the customer as a subject matter expert for specific health conditions or risk factor
May make health plan and employer integration referrals to other internal or external departments
Must be able to fluently communicate (verbal and written) in Spanish and English
The successful candidate must possess a High School Diploma and a Diploma in Nursing, an Associate’s Degree in Nursing or Bachelor’s Degree in nursing with a BSN preferred..
Must possess a current TN RN license and have the ability to obtain licensure in other states
For three decades, Healthways has been dedicated to improving the human condition. Each year, we learn more and do more for the millions of individuals who count on us to make a difference in their health and well-being. Healthways is a global provider of solutions that help employers, health plans and government agencies enhance business performance and reduce healthcare costs. Our mission is to create a healthier world, one person at a time.
Here at Healthways as we continue to make the world a healthier place, we have also created an environment where people choose to do their best work. Our unique culture thrives on mission-driven individuals who exude a high sense of energy and passion in everything that they do. Collaboration and teamwork are an essential part of everyday life for Colleagues who trust and depend on one another to achieve the highest degree of collective success. We are an organization that strives to recruit the best and the brightest individuals who take pride in the statement “I work for Healthways.”