Registered Nurse Field Coordinator - LiveWell Choice, LLC
Columbia, SC
About the Job
General Purpose: The individual holding this position is required to support and demonstrate their commitment to the Longevity Health Statement of Purpose, which is: To improve the health and quality of life of nursing home residents by caring for their unique medical, social, and emotional needs.
Job Summary:
The RN Field Coordinator (RN FC) is responsible to support on the ground continuity of care data gathering and facilitation of effective onboarding of new health plan members and new buildings. The RN FC will work with the local clinical staff and leadership to educate and train new nursing facilities on the clinical model, will access facility and LHP EMR data to ensure LHP clinical team members understand member transition needs and communicate to the National Care Coordination Team any needs for network or other provider support. Additionally, the RN FC will help gather other information for the NC NPs who are onboarding new members to Facilitate initial visits for the NPs. The RN SC will travel to the different Nursing Homes upon request and assignment by the Market Director of Clinical Services (MDCS).
Key Tasks and Responsibilities:
- Works directly with the clinical and sales team to identify member external appointments, then facilitates access to those providers in a seamless and timely manner and communicates back to the member’s NP and NH contact.
- Uses facility EMRs to prescreen new enrollees to determine any specific continuity of care needs for external appointments/specialists, etc. and facilitates their access.
- Performs care coordination activities - member transitions of care communication to and from facility, assisting with Prior auth requests process, assisting with members’ needing out of Nursing Facility care and services, knowing how to access the drug formulary, provider directory and communicates member patients/families and doctors as delegated by team- Nurse Practitioners.
- Participates in Longevity Health Plan NC standing clinical meetings on a daily/weekly monthly basis.
- Assists with gathering data for hospitalization review sessions.
- Assist with onboarding new nursing homes, educating team members on LHP model.
- Assists with the initiation of telehealth service in newly onboarded NHs, assisting with education, following up as needed.
- Proficient user of the LHP EMR.
- Will conduct nursing home orientation sessions for all shifts on LHP MOC and introduction to the model on all new homes and refreshers on existing homes in the Market.
- Assists with LHP EMR data input upon request of MDCS when a team member is having difficulty or is behind.
- Performs other duties as assigned, or as required by the team and based on caseload, workload, etc.
Licensure/Certification:
- Licensed registered professional nurse in good standing.
- Valid state drivers’ license with a good driving record and proof of automobile insurance required.
- Auto liability insurance declaration page with minimum limits of $100,000/$300,000 for bodily injury and $100,000 for property damage with combined single limit of $300,000. You will be responsible for providing this proof of coverage on an annual basis.
Education and Training:
- Associate degree in nursing required, bachelor’s degree in nursing or other healthcare related discipline but must be a licensed professional registered nurse.
Knowledge and Experience:
- Nursing home background or health plan case management experience preferred.
- Minimum 2 years, experience as a Registered Nurse.
- Excellent verbal and written communication skills.
- Excellent computer skills, EMR/clinical Platform/MS Office Products.
- Knowledge of the challenges and opportunities to serve the long-term nursing home population.
- Able to travel.
- Required to have managed care coordination background/experience.
Company Overview:
Longevity Health is a clinical services company and national Institutional Special Needs Plan (ISNP) founded with the purpose of optimizing the quality of life for people in long-term care by focusing on their individualized health needs.
Launched in 2018, our ISNP was designed to address the significant unmet needs of nursing home residents by establishing collaborative, value-based partnerships with long-term care facilities.
Between 2018 and 2022, we experienced rapid growth and expanded our ISNP offerings across several states, including Colorado, Florida, Illinois, Michigan, New Jersey, New York, and North Carolina. In 2023, we diversified our services by launching as an Independent Provider Association (IPA) in collaboration with leading national health insurers. This model is now available in Ohio, Pennsylvania, upstate New York, Georgia, South Carolina, Virginia, and Texas, with plans to expand into additional states.
These strategic partnerships allow us to deliver an elevated level of care to this vulnerable population. We are currently active in 13 markets and continue to see steady growth.
Purpose: The individual holding this position is required to support and demonstrate their commitment to the Longevity Health & LiveWell Choice Statement of Purpose, which is: To optimize the quality of life of people in long-term care by focusing on their individualized health needs through collaborative value-based solutions.
Company Disclaimers:
Longevity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
It is the policy of Longevity Health to follow Federal and / or State regulations surrounding COVID vaccinations. While CMS guidelines have been relaxed, there are some LHP facilities which will still require staff be vaccinated in an effort to protect the health of the members / patients we serve. If your assigned location(s) require all staff to be fully vaccinated, you are required to obtain and / or provide documentation related to your COVID vaccination. To confirm whether your assigned location(s) require COVID vaccinations, please refer to the Facility Guide Job Aid located on Longevity Health Plan’s intranet site.
The Company will engage in an interactive process with individuals who cannot be vaccinated for medical or sincerely held religious beliefs to determine if a reasonable accommodation can be made. While an exemption/accommodation may be initially granted, if at any time during employment, it is determined that an exemption/accommodation that has been granted is no longer considered a reasonable accommodation, it can result in employment with the Company ending.
Candidates must meet the Company’s hiring criteria which include a pre-employment background and drug screening.
Longevity Health offers a competitive compensation and benefits package which includes medical, dental, vision, short and long-term disability, life insurance, and 401(k).
Submission of false information during the application process may result in immediate termination of employment without notice.
