Family Clinical Advocate - Transplant RN - Remote

Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change.

Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com. Job Summary: The Clinical Advocate supports the implementation and delivery of Sharecare's Advocacy program by providing high quality telephonic/digital Case Management and/or condition management in a patient centered model to help improve a member's total well-being and do so in an appropriate, efficient and cost-effective manner.

The nurse filling this role will have the opportunity to share their transplant knowledge and experience with members and other clinicians on the team. The Clinical Advocate coordinates with the member, their Primary Care Provider, Specialty Care Providers, ancillary services, and all other members of the health care team to support the members. The certified professional will use motivational interviewing and clinical skills to activate and help guide members to successful completion of health and well-being goals as well as develop care plans and communicate with the member's healthcare providers to ensure consistent, high-quality care.

The Clinical Advocate will work with Sharecare's clinical analytics and clinical team to identify at risk members and provide Complex Case Management and strategies for health self-management through the duration of the Care Plan. Essential Job Functions:. Serve as an extension of the care team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.

* Utilize established documentation standards to maintain quality of Care Plan documentation to include member progress toward their established state of being and barriers to achievement of Care Plan objectives/outcomes Assess the member's ongoing care needs and progress towards goals throughout the case duration and makes revisions as needed to address changes in the member's condition, lack of progress toward goals of the care plan, preference changes, and transitions in care setting.* Coordinate plan of care with the provider with goals of member stabilization, decreased admissions, and medication management Follow program communication and referral mechanisms to assure there is seamless communication between PCPs, Specialists, and any other relevant members of the Care Team Coordinate patient education in support of standards of care guidelines and related health issues using the most appropriate modality for the member.* Identify appropriate program partners and other healthcare providers/vendors as well as community resources.

Refers and follows-up on referrals and outcomes.* Regarding clinical conversations, educate member on understanding benefit coverage, explanation of benefits, and reasons for coverage denials.* Ensure all health care services are medically necessary and provided in the most appropriate setting.

* Assist member in finding alternative care options or assist member in working with payer to complete prior authorization or appeals process, when necessary.* Abide by Clinical Advocacy Program Description and Guidelines.* Direct questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for education or additional learning needs surrounding the programs that are outside of his/her understanding Complete training and annual clinical competency testing.

* Actively participates in team huddles and contributes to the clinical learning.* Remain current on clinical knowledge via self-directed learning. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor..