Clinical Quality Data Abstractor Rn Jobs in Colorado

ABOUT THE ROLE:
The RN Care Manager supports members participating in Rightway's Disease Management Programs (e.g., obesity, diabetes). The RN partners with a multidisciplinary care team to deliver personalized clinical support, care coordination, and ongoing monitoring. This role serves as the member's trusted clinical advisor with the goal of improving clinical outcomes, supporting long-term member success, and building a positive member experience.

• Denver Hybrid role: remote Monday, Wednesday, and Friday; in-office Tuesday and Thursday
• Shift available: 9:00 am-5:30 pm MST
• May require occasional holiday and weekend coverage based on member and program needs

WHAT YOU'LL DO:

• Consult with members regularly to establish goals, develop and review care plans, and monitor progress towards health goals, while fostering shared decision-making through personalized support.
• Proactively monitor clinical risk and deploy appropriate risk mitigation interventions
• Empower members with self-management education that prevents disease progression and enables them to manage their condition outside of an acute care setting.
• Collaborate closely with the other clinicians to deliver coordinated, whole-person clinical support.
• Identify behavioral health and social determinants of health needs and connect members to appropriate internal resources or external point solutions
• Accurately and promptly document member interaction, including but not limited to consultation and intervention notes, nursing care plan, and assessments.
• Maintain a patient-centric, empathetic, and motivational approach that supports long-term engagement and positive behavior change.
• Protect member privacy and maintain HIPAA compliance at all times
• Utilize provided technology effectively, including communication platforms, clinical software, and remote monitoring tools.
• Support organizational goals for member satisfaction, clinical quality, and operational efficiency.
• Must be able to work assigned shifts, including rotating holidays to ensure adequate member coverage.
• Flexibility to adjust hours occasionally based on operational needs, including surge periods or emergency response situations.
• Reliable attendance is essential for maintaining service levels and member access.
• Remote work environment with reliable high-speed internet.
• Ability to sit for extended periods while performing telephonic or chat assessments.
• Use of computer, headset, and telecommunication tools for the majority of the shift.
• Perform other duties as assigned.

WHO YOU ARE:

• RN or BSN degree
• Active, unrestricted RN license required; multi-state licensure required, and must live in a compact state
• Additional state licenses desired: CA, NY, MI, MN, OR
• 5+ years of clinical experience required
• Background in care management and/or chronic condition support required
• Behavioral health experience is highly desired
• Experience with GLP-1 medications and/or weight management programs is desired
• Skilled in motivational interviewing and coaching members through sustained behavior change
• Strong telephonic assessment, clinical judgment, and communication skills
• Comfortable working within an app-based, technology-enabled care model

COMPENSATION: $34.00 - $40.86/hr
Compensation offered will be determined by geographic location, experience, and qualifications.
CYBERSECURITY AWARENESS NOTICE
In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.
ABOUT RIGHTWAY:
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient's care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Since its founding in 2017, Rightway has raised over $200mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We're headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
HOW WE LIVE OUR VALUES TO OUR TEAMMATES:
We're seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our core values:
1) We are human, firstOur humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to-and hear-each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
2) We redefine what is possibleWe always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
3) We debate then commitWe believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a "yes, and" mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
4) We cultivate gritChanging healthcare doesn't happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
5) We seek to delightHealthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members' care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members' success.
Rightway is proud to be an Equal Opportunity Employer that believes in the strength of diverse thought, beliefs, backgrounds, and education. We foster an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis protected by applicable law. All employment decisions are based on merit, qualifications, need, and performance.