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| Evolent Health

ABOUT US > CURRENT OPPORTUNITIES

CLINICAL & NURSING

RN Care Advisor – Remote REMOTE, UNITED STATES

APPLY

RN Care Advisor - Remote Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans. Are we growing? Absolutely—70.3% in year-over-year revenue growth in 2017. Are we

Evolent Health Job Descriptions, p. 3

https://www.evolenthealth.com/careers/opportunity/odXc9fwf[4/28/19, 7:20:12 PM]


| Evolent Health

positively impact and improve the healthcare delivery system. As an Evolent employed team including nurses, social workers, registered dietitians, physicians, pharmacists, and program coordinators, you will have the opportunity to make a profound impact on the lives of people living

assessments that include the medical, behavioral, pharmaceutical and social needs of the patient, identify gaps in care and barriers to attaining improved health. other members of the population health team, create and implement a care plan that will address the identified needs, remove the barriers and improve the health of the patient. Coordinate care by serving as the contact point, advocate and resource for the patient, their family and their physician, building effective relationships through trust, respect and communication. In close collaboration with the patient, primary care provider and care team you will

individual patients and the population served.

public health, case management, coordinating care across multiple settings and with multiple providers.

Preferred

We are looking for team members who possess enthusiasm, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working in a collaborative, team-oriented system.

Evolent Health Job Descriptions, p. 4

https://www.evolenthealth.com/careers/opportunity/odXc9fwf[4/28/19, 7:20:12 PM]


| Evolent Health

APPLY

SHARE

SIMILAR JOBS CLINICAL & NURSING

REMOTE, UNITED STATES

CLINICAL & NURSING

REMOTE, UNITED STATES

JOB ALERTS Evolent Health Job Alerts Get notified about new jobs that match you, and let Evolent Health know youre interested!

Attach

Evolent Health Job Descriptions, p. 5

https://www.evolenthealth.com/careers/opportunity/odXc9fwf[4/28/19, 7:20:12 PM]


| Evolent Health

ABOUT US > CURRENT OPPORTUNITIES

NEW CENTURY HEALTH (NCH)

Utilization Management Nurse (Cardiology) REMOTE, UNITED STATES

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans. Are we growing? Absolutely—70.3% in year-over-year revenue growth in 2017. Are we

New Century Health merged with Evolent Health in 2018 and continues to lead transformative change in specialty care management as an Evolent company. Within the Evolent ecosystem of provider-centric solutions for value-based care, our New Century Health team focuses on cost and results, New Century Health generates insights and drives cutting edge innovation through its clinical capabilities and deep understanding of health care informatics, physician management and

Evolent Health Job Descriptions, p. 6

https://www.evolenthealth.com/careers/opportunity/o3vS9fwj-CJ9rVfwY[4/28/19, 7:25:50 PM]


| Evolent Health

health care technology systems development. Together, Evolent and New Century Health are

landscape for patients, providers and payers.

authorization requests, referrals, approvals and case preparation for medical review, claims review, request and review medical records. This position plays a pivotal role in the clinical management of

ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.

1. 2. 3. established clinical guidelines for appropriateness and medical necessity, the request is sent 4. Ensures regulatory guidelines are met for timeliness and use of medical review criteria. . Verifies accuracy of codes and services and applies them accurately with appropriate documentation. 6. purpose of education to establish a smooth operational flow of authorizations and referrals. 7. documentation of submissions per approved NCH policy guidelines. 8. 9. 10. submission of developed and approved pathways sent to Information Technology. 11. necessary to track and trend utilization practices by provider, practice variation reports, reports to support quality initiatives, and elements to support NCH dashboard reports. 12. Acts with honor and integrity, serving as a role model for the company.

Evolent Health Job Descriptions, p. 7

https://www.evolenthealth.com/careers/opportunity/o3vS9fwj-CJ9rVfwY[4/28/19, 7:25:50 PM]


| Evolent Health

13. 14. Acts as an interdepartmental liaison between all NCH offices, departments, and committees. .

: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the individuals with disabilities to perform the essential functions.

1. to interact with various levels of personnel. 2. Able to work in a fast-paced environment, demonstrate excellent problem solving, critical thinking, and organizational skills. 3. perform consistent work product validation/QA. 4. .

claims processing preferred. Oncology and/or cardiology experience highly preferred.

have the ability to easily navigate through website research.

: The physical demands described here are representative of those that

Evolent Health Job Descriptions, p. 8

https://www.evolenthealth.com/careers/opportunity/o3vS9fwj-CJ9rVfwY[4/28/19, 7:25:50 PM]


| Evolent Health

must be met by an employee to successfully perform the essential functions of this job. essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and talk or hear. The employee frequently is required to sit. The employee is occasionally required to stand and walk.

by this job include close vision.

WORK ENVIRONMENT: The work environment characteristics described here are representative accommodations may be made to enable individuals with disabilities to perform the essential functions.

SHARE

SIMILAR JOBS NEW CENTURY HEALTH (NCH)

REMOTE, UNITED STATES

NEW CENTURY HEALTH (NCH)

REMOTE, UNITED STATES

Evolent Health Job Descriptions, p. 9

https://www.evolenthealth.com/careers/opportunity/o3vS9fwj-CJ9rVfwY[4/28/19, 7:25:50 PM]


3/23/2019

E

H

PENSACOLA, FL, UN TED STATES

APPLY

Y

F

eE

(HTTP://JOBS.JOB ITE.COM/E OLENT-HEALTH/JOB/O TF9F

/APPL ?NL=0&)

l e He e

Evolent Health has a bold mission to change the health of the nation b changing the

a

health care is delivered. Our pursuit of this mission is the driving force that brings us to ork each da . We believe in embracing ne

ideas, challenging ourselves and failing

for ard. We respect and celebrate individual talents and team

ins. We have fun

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orking hard and Evolenteers often make a di erence in ever thing from scrubs to jeans. Are

e gro ing? Absolutel

56.7% in ear-over- ear revenue gro th in 2016. Are

e

recogni ed? De nitel . We have been named one of Becker s 150 Great Places to Work in Healthcare in 2016 and 2017, and one of the 50 Great Places to Work in 2017 b Washingtonian, and our CEO

as number one on Glassdoor s 2015 Highest-Rated CEOs

for Small and Medium Companies. f ou re looking for a place

here our

personall and professionall re arding, don t just join a compan mission

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ork can be

ith a mission. Join a

ith a compan behind it.

provides value-based care solutions for hospitals, health s stems and

Heal h

ph sicians to help them achieve clinical and nancial re ards for more e ectivel managing patient populations. Leveraging 20 ears of e perience, Valence Health

orks

ith clients to design, build and manage customi ed value-based care models including clinicall integrated net orks, bundled pa ments, risk-based contracts, accountable care organi ations and provider-sponsored health plans. Providers turn to Valence Health s ://

EX. H, P. 009

Evolent Health Job Descriptions, p. 10 .

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3/23/2019

E

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integrated set of advisor services, population health technolog and managed services to make the volume-to-value transition

ith a single partner in a practical and e ible

a . Valence Health s more than 900 emplo ees empo er 85,000 ph sicians and 135 hospitals to advance the health of 20 million patients. For more information, visit

.e

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heal h.c

Position Summar The Case Manager (RN) is responsible for the coordination and e cient utili ation of health care resources for the provision of qualit care for all patients throughout the Continuum of Care. The RN Case Manager

ill facilitate clinicall appropriate and scall

responsible patient care through communication

ith the treating ph sicians, and all

other members of the health care team. The RN Case Manager assesses and identi es the member s ph sical and ps chosocial needs, and determines the health care services and level of care appropriate for the individual patient based on established bene ts, protocols, path a s, and evidence-based medicine tools. Essential Functions Provide care management to appropriate members based on diagnosis and or condition as per department protocol in accordance

ith CMSA and CHES standards

of practice. Maintains a high level of ethical conduct regarding con dentialit , dual-relationships, and professional stature Maintains client and program records in accordance

ith applicable standards and

regulations, etc. Participates in continuing education activities, remaining kno ledgeable in area(s) of e pertise Performs other duties as assigned Education and E perience Licensed registered nurse (current and unrestricted) Associate or Bachelor Degree in Nursing required; Bachelor Degree preferred Certi ed Case Manager (CCM) preferred. Must be eligible to take the CCM e am ithin 2 ears of date of hire if not currentl certi ed. OR Bachelor degree required; preferred concentration in Social Work, Public Health or Health Education

://

EX. H, P. 010

Evolent Health Job Descriptions, p. 11 .

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E

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Certi ed Case Manager (CCM) preferred. Must be eligible to take the CCM e am ithin 2 ears of date of hire if not currentl certi ed. OR Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) Certi ed Case Manager (CCM) preferred. Must be eligible to take the CCM e am ithin 2 ears of date of hire if not currentl certi ed. For all: Minimum of three ears of direct clinical patient care appropriate to licensure. Minimum of three ears of case management e perience, in a managed care environment or health plan preferred Kno ledge of managed care principles, HMO and Risk Contracting arrangements. Kno ledge of case management standards of practice Strong interpersonal, oral and Abilit to

ritten communication skills.

ork in a variet of settings

communities

ith culturall -diverse families and

ith the abilit to be culturall sensitive and appropriate

Possess basic computer skills Work Environment This job operates in a professional o ce environment. This role routinel uses standard o ce equipment such as computers, phones, photocopiers, ling cabinets and fa machines. Ph sical Demands While performing the duties of this job, the emplo ee is regularl required to talk or hear. The emplo ee frequentl is required to stand; and reach We are a

alk; use hands to nger, handle or feel;

ith hands and arms. ork hard, pla hard compan ,

committed to treating our emplo ees

ith a mission to help change healthcare. We are

ell, kno ing that the in turn

ill treat our clients

ell, and help them provide higher qualit , lo er cost healthcare. With 900+ emplo ees located in Chicago and three other o ce locations, Valence Health is a small, but gro ing compan doing big things. Evolent Health is an equal opportunit emplo er. We

://

elcome diversit in the

EX. H, P. 011

orkplace.

Evolent Health Job Descriptions, p. 12 .

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4/26/2019

Utilization Management Nurse | Evolent Health | LinkedIn

EX. H, P. 052

Evolent Health Job Descriptions, p. 13

https://www.linkedin.com/jobs/view/1213824061/

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4/26/2019

Utilization Management Nurse | Evolent Health | LinkedIn

EX. H, P. 053

Evolent Health Job Descriptions, p. 14

https://www.linkedin.com/jobs/view/1213824061/

2/4


4/28/2019

| Evolent Health

REMOTE, UNITED STATES

APPLY

(HTTP://JOBS.JOBVITE.COM/EVOLENT-HEALTH/JOB/ODXC9FWF/APPLY? NL=0&__JVST=JOB+BOARD&__JVSD=INDEED)

RN Care Advisor - Remote Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a di erence in everything from scrubs to jeans. Are we growing? Absolutely—70.3% in year-over-year revenue growth in 2017. Are we recognized? De nitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016 and 2017, and one of the “50 Great Places to Work” in 2017 by Washingtonian, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it. Who You’ll Be Working With:

EX. H, P. 085

Evolent Health Job Descriptions, p. 15

https://www.evolenthealth.com/careers/opportunity/odXc9fwf?__jvst=Job+Board&__jvsd=Indeed&nl=1

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4/28/2019

| Evolent Health

Evolent Health is looking for a Registered Nurse Care Advisor to be a key member of the Population Health Team. This individual will play a critical role in executing Evolent Health’s mission of partnering with the nation’s leading health systems in their strategic evolution to positively impact and improve the healthcare delivery system. As an Evolent employed team including nurses, social workers, registered dietitians, physicians, pharmacists, and program coordinators, you will have the opportunity to make a profound impact on the lives of people living with complex and/or chronic conditions. Responsibilities: Along with other members of the Population Health team, conduct comprehensive assessments that include the medical, behavioral, pharmaceutical and social needs of the patient, identify gaps in care and barriers to attaining improved health. Based on this assessment, and in conjunction with the patient, the patient’s physician and other members of the population health team, create and implement a care plan that will address the identi ed needs, remove the barriers and improve the health of the patient. Coordinate care by serving as the contact point, advocate and resource for the patient, their family and their physician, building e ective relationships through trust, respect and communication. In close collaboration with the patient, primary care provider and care team you will continually assesses the patient’s knowledge of their clinical condition(s) and provide education and self-management support based on the patient’s unique learning style. Measure, improve and maintain quality outcomes (clinical, nancial, and functional) for individual patients and the population served.

Quali cations: Required Associate Degree in Nursing. 3-5 years of nursing experience; preferably in-home health, ambulatory care, community public health, case management, coordinating care across multiple settings and with multiple providers.

Preferred Bachelor’s Degree in Nursing. Certi cation in Case Management or willing to take CCM or CMCN Certi cation in Managed Care nursing exam as soon as quali ed.

EX. H, P. 086

Evolent Health Job Descriptions, p. 16

https://www.evolenthealth.com/careers/opportunity/odXc9fwf?__jvst=Job+Board&__jvsd=Indeed&nl=1

2/5


4/28/2019

| Evolent Health

We are looking for team members who possess enthusiasm, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working in a collaborative, team-oriented system. Knowledge and experience teaching self-management. Exceptional communication skills, both written and oral, ability to positively in uence others with respect and compassion; uency in a foreign language is a plus. Strong work ethic built on a foundation of proactivity and teamwork. Ability to navigate ambiguity with the aid of structured problem-solving techniques. Committed to the practice of inquiry and listening. A current valid, unrestricted Registered Nurse License.

Evolent Health is an equal opportunity employer and considers all quali ed applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.Â

APPLY

(HTTP://JOBS.JOBVITE.COM/EVOLENT-HEALTH/JOB/ODXC9FWF/APPLY? NL=0&__JVST=JOB+BOARD&__JVSD=INDEED)

Manager, Clinical Operations (/careers/opportunity/olbR9fwg-CJ9rVfwY) REMOTE, UNITED STATES (/CAREERS/OPPORTUNITY/OLBR9FWG-CJ9RVFWY)

RN Care Advisor (/careers/opportunity/oAcR9fww-CJ9rVfwY) REMOTE, UNITED STATES (/CAREERS/OPPORTUNITY/OACR9FWW-CJ9RVFWY)

EX. H, P. 087

Evolent Health Job Descriptions, p. 17

https://www.evolenthealth.com/careers/opportunity/odXc9fwf?__jvst=Job+Board&__jvsd=Indeed&nl=1

3/5


4/28/2019

Evolent Health RN Care Advisor – Job in Remote, United States | Glassdoor 1

RN Care Advisor – 3.3

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Clinical & Nursing RN Care Advisor – Remote Remote, United States APPLY RN Care Advisor - Remote Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans. Are we growing? Absolutely—70.3% in year-over-year revenue growth in 2017. Are we recognized? De nitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016 and 2017, and one of the “50 Great Places to Work” in 2017 by Washingtonian, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it. Who You’ll Be Working With: Evolent Health is looking for a Registered Nurse Care Advisor to be a key member of the Population Health Team. This individual will play a critical role in executing Evolent Health’s mission of partnering with the nation’s leading health systems in their strategic evolution to positively impact and improve the healthcare delivery system. As an Evolent employed team including nurses, social workers, registered dietitians, physicians, pharmacists, and program coordinators, you will have the opportunity to make a profound impact on the lives of people living with complex and/or chronic conditions. Responsibilities: Along with other members of the Population Health team, conduct comprehensive assessments that include the medical, behavioral, pharmaceutical and social needs of the patient, identify gaps in care and barriers to attaining improved health. Based on this assessment, and in conjunction with the patient, the patient’s physician and other members of the population health team, create and implement a care plan that will address the identi ed needs, remove the barriers and improve the health of the patient. Coordinate care by serving as the contact point, advocate and resource for the patient, their family and their physician, building effective relationships through trust, respect and communication. In close collaboration with the patient, primary care provider and care team you will continually assesses the patient’s knowledge of their clinical condition(s) and provide education and self-management support based on the patient’s unique learning style. Measure, improve and maintain quality outcomes (clinical, nancial, and functional) for individual patients and the population served. Quali cations: Required Associate Degree in Nursing.

EX. H, P. 113

Evolent Health Job Descriptions, p. 18

https://www.glassdoor.com/job-listing/rn-care-advisor-evolent-health-JV_KO0,15_KE16,30.htm?jl=3128234259&utm_campaign=google_jobs_apply&utm_source=…

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4/28/2019

Evolent Health RN Care Advisor – Job in Remote, United States | Glassdoor

3-5 years of nursing experience; preferably in-home health, ambulatory care, community public health, case management, coordinating care RN Caresettings Advisor Apply on Company Site Save across multiple and– with multiple providers. Evolent Health – Remote 3.3 17 days ago

Preferred Bachelor’s Degree in Nursing. Certi cation in Case Management or willing to take CCM or CMCN Certi cation in Managed Care nursing exam as soon as quali ed. We are looking for team members who possess enthusiasm, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working in a collaborative, team-oriented system. Knowledge and experience teaching self-management. Exceptional communication skills, both written and oral, ability to positively in uence others with respect and compassion; uency in a foreign language is a plus. Strong work ethic built on a foundation of proactivity and teamwork. Ability to navigate ambiguity with the aid of structured problem-solving techniques. Committed to the practice of inquiry and listening. A current valid, unrestricted Registered Nurse License. Evolent Health is an equal opportunity employer and considers all quali ed applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. APPLY

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Evolent Health Job Descriptions, p. 19

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Evolent Health hiring Utilization Management RN in Fort Myers, FL, US | LinkedIn

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Utilization Management RN

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Evolent Health 路 Fort Myers, FL, US

Manager, CAS

5 months ago 路 5 applicants

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Fort Myers, FL, US 3 days ago

Vice President, Strategy & Operations

Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Gartner Fort Myers, FL, US 2 weeks ago

Sr. Manager, Business Analysis Gartner Fort Myers, FL, US 4 days ago

Are we growing? Absolutely56.7% in year-over-year revenue growth in 2016. Are we recognized? Definitely. We have been named one of Becker s 150 Great

General Manager - Ft Myers, FL

Places to Work in Healthcare in 2016 and 2017, and one of the 50 Great Places

JCPenney

to Work in 2017 by Washingtonian, and our CEO was number one on Glassdoor

Fort Myers, FL, US

s 2015 Highest-Rated CEOs for Small and Medium Companies. If you re looking

1 week ago 路 Easy Apply

for a place where your work can be personally and professionally rewarding, don t just join a company with a mission. Join a mission with a company behind it. Evolent Health at http://valencehealth.com/ provides value-based care

EX. H, P. 013

solutions for hospitals, healthsystemsand physicians to help them achieve

Associate Team Client Manager (Portuguese) Gartner Fort Myers, FL, US

Evolent Health Job Descriptions, p. 20

https://www.linkedin.com/jobs/view/998614526/[4/28/19, 4:30:15 PM]


Evolent Health hiring Utilization Management RN in Fort Myers, FL, US | LinkedIn

clinical and financial rewards for more effectively managing patient

2 weeks ago

populations.Leveraging 20 years of experience, Valence Health works with

Revenue Cycle Manager

clients to design, build and manage customized value-based care models

Nearterm Corporation

including clinically integrated networks, bundled payments, risk-based

Fort Myers, Florida, United States

contracts, accountable care organizations and provider-sponsored health plans.

3 days ago

Providers turn to Valence Health s integrated set of advisory services, population health technology and managed services to make the volume-to-

Premium Client Manager

value transition with a single partner in a practical and flexible way.Valence

Gartner

Health s more than 900 employees empower 85,000 physicians and 135

Fort Myers, Florida Area

hospitals to advance the health of 20 million patients. For more information, visit

2 weeks ago

www.evolenthealth.com

Portuguese Speaking Client Success Manager

Position Summary

Gartner Fort Myers, Florida Area

The Case Manager (RN) is responsible for the coordination and efficient

4 weeks ago

utilization of health care resources for the provision of quality care for all patients throughout the Continuum of Care. The RN Case Manager will facilitate clinically appropriate and fiscally responsible patient care through communication with

Talent Supply Chain Engagement Senior Coordinator

the treating physicians, and all other members of the health care team. The RN

Amazon

Case Manager assesses and identifies the member s physical and psychosocial

Fort Myers, FL, US

needs, and determines the health care services and level of care appropriate for

6 days ago

the individual patient based on established benefits, protocols, pathways, and evidence-based medicine tools. Essential Functions Provide care management to appropriate members based on diagnosis and or condition as per department protocol in accordance with CMSA and CHES standards of practice. Maintains a high level of ethical conduct regarding confidentiality, dualrelationships, and professional stature Maintains client and program records in accordance with applicable

EX. H, P. 014

Evolent Health Job Descriptions, p. 21

https://www.linkedin.com/jobs/view/998614526/[4/28/19, 4:30:15 PM]


Evolent Health hiring Utilization Management RN in Fort Myers, FL, US | LinkedIn

standards and regulations, etc. Participates in continuing education activities, remaining knowledgeable in area(s) of expertise Performs other duties as assigned Education and Experience Licensed registered nurse (current and unrestricted) Associate or Bachelor Degree in Nursing required; Bachelor Degree preferred Certified Case Manager (CCM) preferred. Must be eligible to take the CCM exam within 2 years of date of hire if not currently certified. OR Bachelor degree required; preferred concentration in Social Work, Public Health or Health Education Certified Case Manager (CCM) preferred. Must be eligible to take the CCM exam within 2 years of date of hire if not currently certified. OR Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) Certified Case Manager (CCM) preferred. Must be eligible to take the CCM exam within 2 years of date of hire if not currently certified.

For All Minimum of three years of direct clinical patient care appropriate to licensure. Minimum of three years of case management experience, in a managed care environment or health plan preferred Knowledge of managed care principles, HMO and Risk Contracting arrangements.

EX. H, P. 015

Evolent Health Job Descriptions, p. 22

https://www.linkedin.com/jobs/view/998614526/[4/28/19, 4:30:15 PM]


Evolent Health hiring Utilization Management RN in Fort Myers, FL, US | LinkedIn

Knowledge of case management standards of practice Strong interpersonal, oral and written communication skills. Ability to work in a variety of settings with culturally-diverse families and communities with the ability to be culturally sensitive and appropriate Possess basic computer skills Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. We are a work hard, play hard company, with a mission to help change healthcare. We are committed to treating our employees well, knowing that they in turn will treat our clients well, and help them provide higher quality, lower cost healthcare. With 900 employees located in Chicago and three other office locations, Valence Health is a small, but growing company doing big things. Evolent Health is an equal opportunity employer. We welcome diversity in the workplace. Seniority Employment Job level type function Associate FullHealth time Care Provider

Industries Information Technology and Services, Insurance, Hospital & Health Care

EX. H, P. 016

Evolent Health Job Descriptions, p. 23

https://www.linkedin.com/jobs/view/998614526/[4/28/19, 4:30:15 PM]


1/13/2020

| Evolent Health

ABOUT US (/ABOUT-US) > CURRENT OPPORTUNITIES (/CAREERS/CURRENT-OPPORTUNITIES)

HEALTHCARE & CLINICAL

Community Health Worker FT. MYERS, FL, UNITED STATES

APPLY (HTTP://JOBS.JOBVITE.COM/EVOLENT-HEALTH/JOB/OIFZBFWR/APPLY?NL=0&)

It’s Time For A Change… Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a di erence in everything from scrubs to jeans. Are we growing? Absolutely—70.3% in year-over-year revenue growth in 2017. Are we recognized? De nitely. We have been named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016 and 2017, and one of the “50 Great Places to Work” in 2017 by Washingtonian, and our CEO was number one on Glassdoor’s 2015 Highest-Rated CEOs for Small and Medium Companies. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it. Who You’ll Be Working With: The Community Health Worker will work as an extension of the clinical care team and speci cally under the guidance of an RN Care Manager. The individual taking this role will be assigned patients and will manage his/her caseload through in-person, telephonic and electronic communications and coordination.

Evolent Health Job Descriptions, p. 24

https://www.evolenthealth.com/careers/opportunity/oIfzbfwr

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1/13/2020

| Evolent Health

What You’ll Be Doing: Work under the guidance of an RN Care Manager Conduct initial outreach calls to encourage patients and care givers to participate in care management programs Document activities in the Identi system, including care plan activities conducted. Engage with patients who need assistance with self-care needs beyond what a nurse care advisor can provide via phone Address language and cultural barriers to care and self-care Coach and guide the patient to meet both personal and clinical goals Schedule provider visits on behalf of their patients Accompany patients to their visits Remind patients of their upcoming visits Help patient access community and governmental based service agencies including possibly lling out paper work for the patient Help teach the care giver about symptom response plans Arrange transportation Facilitate closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing Participate in the integrated care team meetings and is responsible The Experience You Need (Required): Medical Assistant, Engagement Specialist or Community Health Worker Certi cation Finishing Touches (Preferred): Experience working with patients with chronic and behavioral health needs Ability to connect with people and understand the challenges they face Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses Evolent Health is an equal opportunity employer and considers all quali ed applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. Â

APPLY (HTTP://JOBS.JOBVITE.COM/EVOLENT-HEALTH/JOB/OIFZBFWR/APPLY?NL=0&)

Evolent Health Job Descriptions, p. 25

https://www.evolenthealth.com/careers/opportunity/oIfzbfwr

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1/13/2020

Health Educator

Evolent Health hiring Health Educator in Louisville, KY, US | LinkedIn

Evolent Health · Louisville, KY, US

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Health Educator

Evolent Health·Louisville, KY, US

3 months ago · Be among the first 25 applicants See who Evolent Health has hired for this role

No longer accepting applications Itʼs Time For A Change… Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans. Are we growing? Absolutely about 40% in year-over-year revenue growth in 2018 . Are we recognized? Definitely. We have been named one of “Beckerʼs 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019, and One of the “50 Great Places to Work” in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If youʼre looking for a place where your work can be personally and professionally rewarding, donʼt just join a company with a mission. Join a mission with a company behind it. Evolent Health is actively recruiting for a Health Educator to join a team of clinical colleagues working together to improve the health of a defined population. This position will be focused on moderate risk/at risk patients living with chronic disease(s). The Health Educator will assist our patients and caregivers in finding new ways to inspire healthier behaviors and build the self-management skills of our patients and care givers. The individual taking this role will manage his/her caseload through telephonic and electronic communications and coordination.

Responsibilities Conducts initial outreach calls to encourage patients and care givers to participate in the program Contacts and performs initial interviews/screenings with eligible patients. Provides self-management and care coordination support for patients with one of the following conditions: Asthma, Chronic Obstructive Pulmonary Disease, Coronary Artery Disease and Diabetes. Assists the patient and care giver to understand their illness, make life style changes, adhere to medication regimen and work with their provider to develop

Evolent Health Job Descriptions, p. 26

https://www.linkedin.com/jobs/view/health-educator-at-evolent-health-1548083448

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1/13/2020

Evolent Health hiring Health Educator in Louisville, KY, US | LinkedIn

a symptom response plan Health Educator Evolent Health ¡ Louisville, KY, oUSn plan that will be reviewed with an RN Care Advisor. Creates a personali zed acti The action plan will include short and long term goals prioritized by the patient, specific activities/interventions to achieve goals. Identify and address barriers that are preventing the patient from meeting their goals. Conducts regularly scheduled, generally every 3 weeks, self-management coaching, education calls about the patientʟs condition and role in taking care of themselves; this includes care coordination with patients, care givers, physicians and other community and health plan based resources to ensure patients are receiving the right care in the right place at the right time; Arranges referrals to Evolent extended care team members including registered nurses, social workers and pharmacist, as well as, network/delivery system providers and services; Documents their activities in the Identifi Care system, including action plan and activities conducted Educates the patient and/or care giver about symptom response plans Arranges transportation Facilitates gaps in care closure by educating patients about preventive monitoring/screening and working with physician practices to schedule diagnostic testing Adheres to documentation standards and policies and procedures; including frequency of outreach Understands and supports Evolent and Client goals, including program metrics, improvements in quality, cost of care, and member experience for the population that is managed. Identifies opportunities for improvement (at individual, client and program levels) and actively collaborates with management and the broader Evolent clinical team to achieve and/or improve results

Required Qualifications: Two years of experience working with commercial, Medicare and/or Medicaid chronic populations to provide health education, self-management, wellness, care coordination support and lifestyle related topics. Experience working in a health plan setting or doing predominantly telephonic health education and coaching is not required but it is highly preferred Respiratory Therapist, Registered Dietitian, RN or LPN with B.S. in Health Education, Health promotion, Community Health Education or equivalent education. Ability to connect with people with diverse needs and background through the telephone Preferred Health Coach Certification completed prior to or within the first two years of employment at Evolent Demonstrates innovation and an acceptance of new ideas and concepts Possesses the ability to engage/motivate patients to make vital changes in their lives Proven skill in making necessary linkages in order to meet specific needs Must have strong organizational (time management) skills, strong interpersonal skills and the ability to handle multiple priorities

Evolent Health Job Descriptions, p. 27

https://www.linkedin.com/jobs/view/health-educator-at-evolent-health-1548083448

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1/13/2020

Evolent Health hiring Health Educator in Louisville, KY, US | LinkedIn

Knowledge of and practical use of good business English, spelling, arithmetic, Health Educator Evolent Health Louisville, US cate effectively using written and verbal practices and·the abilityKY, to communi skills. Proficient in email communications and internet usage along with basic use of Microsoft Excel and Word. Fluency in Spanish is a plus! Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost) for individual users of health care and patient populations Demonstrates a commitment to patients and a willingness to go above and beyond normal responsibilities to provide the best care possible. Organized and careful in work and always meets deadlines and commitments Senses patientʼs and care givers feelings and perspectives and takes interest in their concerns. Evolent Health is an Equal Opportunity/Affirmative Action Employer

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1/10/2020

LVN, UM Job in Arlington, VA at Evolent Health | ZipRecruiter

LVN, UM

Evolent Health in Arlington, USA

LVN, UM Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans. Are we growing? Absolutely-56.7% in year-over-year revenue growth in 2016. Are we recognized? Definitely. We have been named one of "Becker's 150 Great Places to Work in Healthcare" in 2016 and 2017, and one of the "50 Great Places to Work" in 2017 by Washingtonian, and our CEO was number one on Glassdoor's 2015 Highest-Rated CEOs for Small and Medium Companies. If you're looking for a place where your work can be personally and professionally rewarding, don't just join a company with a mission. Join a mission with a company behind it. The Nurse Reviewer is responsible for performing precertification, prior approvals, labor and delivery admission and discharges. Tasks are performed within the LVN/LPN scope of practice, under Medical Director direction, using independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. Acts as a member advocate by expediting the care process through the continuum, working in concert with the health care delivery team to maintain high quality and cost effective care delivery. This position is based in Austin, Texas or Chicago, Illinois. Essential Functions Performs utilization review of outpatient procedures and ancillary services. Fulfills on call requirements for selected clients as scheduled. Determines medical necessity and appropriateness of services using clinical review criteria. Accurately documents all review determinations and contacts providers and members according to established timeframes. Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director. Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director. Appropriately identifies potential cases for Care Management programs

Evolent Health Job Descriptions, p. 29

https://www.ziprecruiter.com/ojob/fd66b14952eddde0602da99de3eec544

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1/10/2020

LVN, UM Job in Arlington, VA at Evolent Health | ZipRecruiter

Collaborates with physicians and other providers to facilitate provision of services throughout the health care continuum. Performs accurate data entry. Communicates appropriate information to other staff members as necessary/required. Participates in continuing education initiatives. Collaborates with Claims, Quality Management and Provider Relations Departments as requested. Performs other duties as assigned. Education and Experience Licensed practical/vocational nurse (current and unrestricted) High School Diploma or equivalent required Minimum of three years of direct clinical patient care Minimum of one year of experience with medical management activities in a managed care environment Knowledge of managed care principles, HMO and Risk Contracting arrangements. Knowledge of health care resources within the community Experience with clinical decision-making criteria sets (i.e. Milliman, InterQual) Strong interpersonal, oral and written communication skills. Possess basic computer skills Evolent Health is an Equal Opportunity/Affirmative Action Employer Report Job

Posted date: December 09, 2019 View all Jobs at Evolent Health

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Evolent Health Job Descriptions for Mediation - Kelly v. Evolent Health Lawsuit  

Job descriptions for positions at issue in Evolent Health Unpaid Overtime Lawsuit. The lawsuit alleges that Defendant violated federal and s...

Evolent Health Job Descriptions for Mediation - Kelly v. Evolent Health Lawsuit  

Job descriptions for positions at issue in Evolent Health Unpaid Overtime Lawsuit. The lawsuit alleges that Defendant violated federal and s...