Not just your typical workday…
Break away from workplace monotony. At Matrix, our passion is bringing healthcare to underserved populations, innovating new technologies and creating sustainable programs that change lives. When you have the power to make a difference in the health and well-being of others, every day is extraordinary. We’re headed to the future of healthcare, come join us!
"I only wish that I could have her as my doctor. My husband and I are both very satisfied and anytime she wants to come back to talk to us our door is always open to her.” - Member
The focus of the Full Time Matrix Chronic Care team is to stabilize a member’s health, identify and close gaps in care, coordinate, collaborate and provide medical/behavioral/social care support to the member in between their visits to their primary care provider that result in an enhancement to their health status and a reduction in overall health costs. The Care Direct RN will also focus efforts on engaging the member with a goal of ensuring they become and/or remain motivated to take an active role in maintaining a stable healthcare status.
As an essential member of the Matrix Care Direct (CD) Team, the CD Registered Nurse (RN) will focus on assessing, coaching and educating the Adult health plan member with progressive, multiple chronic illness(s) with recent healthcare utilization on how to stabilize their health and transition effectively to their pre-hospital health state. The CD RN will be responsible for a caseload of members and will provide short term OR ongoing/longitudinal care in collaboration with the Care Direct Care Team until the member terminates /successfully graduates from the program or health plan. The CD RN performs an initial assessment of the member, formulates an individualized care plan(ICP) based on patient goals of care and member needs and coordinates care with CD Care Team to determine appropriate interventions necessary for the member to meet critical goals of care. The CD RN must be able to identify changes in members’ condition, provide interventions (with in scope of practice) and notify CD Care Team when more advanced measures are needed. The CD RN will coordinate all medical/behavioral and social resources needed to stabilize the member and assist them to meet goals. The CD RN will work collaboratively with the member, other members of the CD Care Team and the member’s PCP/Specialist to ensure alignment on goals, interventions and progress on health status.
Required Skills and Abilities:
Supervisory Responsibility: No supervisory responsibilities, may act as a field trainer in some positions with this title
Travel Requirements: Local Travel only
Matrix Medical Network is Proud to be an Equal Opportunity Employer