Hub Registered Nurse
Job Closed
Overview
Job Title Hub Registered Nurse Job Description In this role, you will be a part of the first cohort of staff providing direct services to members, who face economic and social challenges in addition to having mental and physical health needs, through our innovative care model. You will be working within our first clinical “hub,” a primary care practice that in many respects will look more like a community center than a doctor’s office. As an RN in our Hub, you will work with a panel of members to improve their health holistically. You will work alongside, and will be supported by, a care team associated with each member, whose work is focused around a Member Action Plan (MAP). You will engage members in the hub, facilitating their on-site care and being a bridge between on-site care and field-based care. Required Skills and Experience - You have a current, unrestricted NYS RN license. - You have experience providing clinical services to individuals with co-occurring chronic medical and behavioral health conditions. - You are an independent self-starter, a leader, and a strategic thinker who is excited about the big picture of whole community health, and the ongoing evaluation and iteration of our care model. - You are excited about how technology can support your work and help drive the ongoing evaluation toward new and better care. (Nice to have) - Experience working collaboratively with a interdisciplinary care team, and specifically working alongside community health workers or care coordination staff. - Experience in home care, hospice/palliative care, acute care, and/or care management - Multilingual What You Need to Know - Act as the practice-based nurse, supporting on-site providers in facilitating an efficient practice that promotes member engagement, trust, and support. - Provide care team support from a nursing perspective, and act as a bridge between on-site care and field-based care. - Coordinate services and relevant Member Action Plan (MAP) goals and tasks both internally and with external providers. - Foster lasting and trusting relationships to assist members in achieving goals, identifying new needs, and coordinating care. - Meet with members in the hub as extenders of the primary care providers and other care team members., including medication reconciliation, standing orders, and disease management education and oversight. - Providing in person triage for members both in person and via phone.
Company
We are the first tech-driven provider for communities with complex needs—bringing better care to where it’s needed most. Founded in 2017 on the premise of local health, we are backed by some of the top healthcare investors in the country. Our mission is to improve the health of underserved communities. Importantly, our solutions are designed specifically for Medicaid and lower-income Medicare beneficiaries, and we meet our members where they are, bringing care into the home and neighborhoods through our community-based care teams. In close collaboration with community-based organizations, local providers, and leading health plans, we are reorganizing the health system to focus on what matters to our members. Equipped with world-class, custom care delivery technology, we deliver personalized primary care, behavioral health, and social services to deliver a radically better experience of care for every member and community we serve.