Job description
Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include:
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Competitive benefits package with day one eligibility
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Employer covers 90% of monthly premium cost for health, dental and vision plans
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Annual employee bonus program to reward success
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Time away from work including paid holidays, paid time off and volunteer time off
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Professional development courses, mentorship opportunities and tuition reimbursement program
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Robust 401(k) with 50% match and end of year discretionary employer contribution
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Paid parental leave and adoption leave with adoption financial assistance
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Employee discount program
Job Description Summary:
Spira Care is a new kind of integrated healthcare offering in the Kansas City market designed by Blue Cross and Blue Shield of Kansas City. Spira Care is a healthcare offering that has been designed to put members first and to give care professionals a place where they will really see the difference they make in people’s lives. Spira Care is looking for professionals willing to bring a new way of thinking and a new drive to their careers as a part of the Care Teams supporting our state-of-the art Care Centers. Registered Nurses (RN) will face the daily challenge of living up to a high standard for the members Spira Care serves and will have the opportunity to elevate their professional experience with a leadership team that is driven to inspire progress for Spira Care members and the community. Working within Spira Care’s integrated model of care and insurance, RN’s will gain a new perspective and appreciation of the role healthcare has in the lives of Spira Care’s members. Spira Care teams are made up of professionals who are open and collaborative, always looking for new ways to solve problems so that members can receive an improved care experience. Spira Care is looking to reward professionals who will not just work at Spira Care, but who will embrace its great possibility by creating its future. RN’s must be obsessive about infusing “care” into “healthcare” by helping our members utilize Spira Care.
Job Description:
- Establishes a trusted partnership with the member and builds creditability through knowledge sharing and education around healthcare needs while using critical thinking and prioritization in collaboration with the care team.
- Provides a high degree of customer service including receiving member incoming calls (return calls and/or triage), in-person interactions, and member outreach as needed.
- Administer and document member intake, point of care testing, immunizations, injections, oral medications, assist providers with procedures and perform phlebotomy (as needed) et al.
- Assist with care coordination including pre-visit planning, clinical pathway adherence, care gap identification and management, ER/inpatient discharges and transitions of care in conjunction with care team.
- Operates as one of the liaisons for member healthcare needs and utilizes all forms of communication effectively to maximize a collaborative relationship in identifying member needs for Behavioral Health, Health Coaching, Diabetic Educators and BCBS programs.
- Document and complete tasks assigned to inboxes within the EHR system and member call queues.
- Work with the care team to meet quality performance targets and metrics established for the providers and care center.
- Operate successfully in an ambiguous environment that requires a high degree of adaptability, agility and reliability.
- Maintains confidentiality of all regulated information in compliance with state and federal laws; reads, understands and follows medical policy and all corporate, divisional and departmental policies and procedures. Including but not limited to: Protected Health Information (PHI) and Personal Identifiable Identification (PII).
- Light local travel may be required.
Minimum Qualifications
- Associate’s or Bachelor’s degree in Nursing.
- Intermediate knowledge/experience with common diagnoses typically seen in primary care.
- Ability to work effectively in a fast-paced environment with competing priorities.
- Ability to define problems (technical and clinical), collect data, establish facts and draw valid conclusions and action plans.
- Intermediate knowledge of Microsoft Windows applications.
- Ability to work with a variety of member tools/applications used to access and document health information and support member interactions through various communication channels (phone, in-person, chat, email, etc.).
- Annual flu immunization. Record of TB and tetanus test prior to working in the care center. COVID vaccine required.
Preferred Qualifications
- Bachelor’s degree.
- Prior primary care experience.
- Athena EHR experience.
- Experience with ACA and/or Medicare populations.
- Advanced knowledge/experience with common diagnoses typically seen in primary care.
Certifications
- Valid and active Registered Nurse (RN) in Kansas and Missouri or multi-state compact license.
- Current BLS or CPR certification.
- Maintain RN and BLS/CPR throughout employment.
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