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Nurse Member Advocate

External
teladoc logoTeladoc · - Any Location (remote)
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About the role

Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services. Teladoc Health serves the world's leading insurers, employers, and health systems and helps millions of people around the world resolve their healthcare needs with confidence. Job Description Acknowledgment This job description is a general overview of nature and level of work performed by employees with this job designation It is not intended to be a comprehensive list of all duties, responsibilities and qualifications required of this position. Management reserves the right to add, delete, and/or mod

Benefits

Health insuranceRemote work options

Additional Information

Join the team leading the next evolution of virtual care. At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives. Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens. Summary of Position The Nurse Member Advocate is an integral part of a cross-functional clinical team comprised of physicians, nurses, medical assistants, pharmacy technicians and support staff that facilitates the 24/7 delivery of whole person healthcare, ensuring the optimal use of internal and external, diverse health care resources to improve health outcomes. The nurses are responsible for care delivery in all Teladoc service lines focusing on ensuring the highest clinical quality, as well as member and client satisfaction. Essential Duties and Responsibilities Works in partnership with clinical team in support of case development and management, care and treatment plans including accurate case documentation, identifying relevant medical data to be collected and providing clear, concise communication to members, internal and external partners. Serve as the ongoing coordinator of primary and preventative care, episodic care, expert medical opinion and other service lines Obtains a comprehensive health history by leading members through a systematic and dynamic intake assessment to capture all relevant data about their current condition and health history and directs members to most appropriate service line; sets appropriate member expectations for each process Resolves prescription issues related to episodic care within established protocols and turn-around times Maintains availability within Outlook for scheduling of member visits and all follow ups Utilizes the company's proprietary database to help connect members to Teladoc Health and external physicians and completes referrals where appropriate, both internal and external Conducts member health coaching and provides treatment decision support service via printed educational materials and videos Uses clinical judgment in the review of complex medical issues to ensure accuracy of clinical summaries/reports and care plans Provides clinical support and guidance to support staff regarding case related inquiries Ensures adherence to established processes and compliance with privacy legislation and regulations with all parties encountered in the service delivery Is accountable for meeting service standards for speed of case progression, overall quality, and member satisfaction Support additional projects as needed The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs. Supervisory Responsibilities No Qualifications Expected for Position 5 years recent experience in the acute care setting preferred Med-surg background preferred Quality driven with a focus on flawless customer service Strong clinical knowledge base Excellent written and verbal communication skills Outstanding team player & strong interpersonal skills Bilingual-Spanish Speaking a plus Strong organizational skills and the ability to multitask with ease Ability to work independently but recognize when escalation is warranted Proficiency using technology and software including Microsoft Word, Excel, Outlook Ability to work required shift: evenings and weekend coverage Required license or credential needed to perform job: Active Registered Nurse license; BSN preferred. The above qualifications, knowledge, experience, and/or background are expected but not required for this role. Work Environment ☐ Office ☒ Remote ☐ Hybrid (Office & Remote) Travel: ≤ 10% Travel percentage reflects an estimate and is subject to change dependent on business needs. Physical Requirements To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Teladoc Health will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual in line with company policy.


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