Health Risk Assessment Nurse (Remote - AZ)

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Requirements:

• 2 years nursing experience in a health care setting.
• Associate’s Degree in Nursing field of study.
• Active, current, and unrestricted license to practice in the State of Arizona as a Registered Nurse (RN) or Practice Nurse (LPN).

Responsibilities:

• Complete both initial and annual Health Risk Assessments.
• Utilize risk stratification tools to classify members as low, medium, or high acuity.
• Work collaboratively with the member to create individualized care plans based on Health Risk Assessment data, chronic conditions, and gaps in care.
• Ensure individualized care plans are time sensitive and contain measurable goals.
• Collaborate with the Interdisciplinary Care Team to incorporate best practices, assess outcomes, and develop individualized care plans.
• Ensure the member and all members of the Interdisciplinary Care Team receive a copy of the individualized care plan to ensure continuity of care.
• Educate members on preventive measures and regular follow-ups with their primary care provider.
• Identify members who would benefit from management programs and make necessary referrals.
• Identify gaps in care and address them with the member.
• Document all work in the care management system per CMS timelines.