Opportunity 

This is an exciting role for a Registered Nurse with a diverse healthcare systems background. Join us to use your finely-tuned skills in assessing physical and psychological-social needs. You will support a dynamic care team in identifying member goals, health priorities and learning opportunities. This will include utilizing motivational interviewing techniques and designing interventions with members to build engagement and improved health outcomes. Other skill set considerations include ability to work efficiently and with competing priorities, comfort with technology and data, as well as employing knowledge of care management principles. 

This role will report to a nurse manager and work within a team pod structure. A successful candidate for this role will be curious, collaborative and adaptable to member journey and team needs. You will be excited to jump into a day that may look a bit different than the day before, while making improvements along the way and building upon your highly-valued skill set. 

Responsibilities

• Delivers remote clinical monitoring and member education via software, video conferencing, and the Twin Health electronic medical record
• Promotes member self-care management by utilizing clinical judgment, data analysis and critical thinking skills
• Evaluates member progress toward goal achievement, including identification and evaluation of barriers to meeting or maintaining plan of care and/or health status
• Prioritizes and manages individual members along the Twin journey by monitoring health condition reversal trends, conducting lab reviews, supporting medication management
• Collaborates closely with team colleagues including nurses, health coaches, providers, and operations teams to drive a seamless experience for members
• Engages the nursing philosophy to capture a holistic picture of the member’s clinical status from Intake to ongoing care management
• Gives appropriate health guidance by utilizing clinical knowledge, training and protocols
• Leverages the nursing processes to triage member alerts and inquiries
• Strictly adheres to Standard Operating Procedures for member management and escalations
• Provides timely responses and feedback to colleagues regarding member care 
• Conducts detailed monitoring to support medication reconciliation and adherence 
• Collaborate with members and pharmacies to identify solutions to defray costs for members and reduce gaps in coverage
• Organizes accurate records and maintains confidentiality according to federal law and Twin policies
• Generates and analyzes reports as needed for management, identifying trends, anomalies and areas of concerns
• Contributes to the development and improvement of clinical care that enhances cost effectiveness while ensuring quality care
• Participates in on-going education and performance improvement activities

Qualifications 

• Required, BSN or MSN from accredited school of nursing 
• Currently active and unencumbered RN license within the state in which patient care is occurring
• Compact license required
• Minimum 4 years of nursing experience in various healthcare systems such as hospitals, Federally Qualified Health Care centers, ambulatory care environments (primary care, internal medicine, family practice, surgical/multi-specialty), health payor systems (case management)
• Experience required in one or more of the following areas: Case/care management, population health, ACO, care coordination or transition care management 
• Experience with EMR and/or systems integration, change management is a plus
• Skilled in motivational interviewing and driving behavior change
• Comfort and enthusiasm for adopting the latest technologies and integrating data and technical outputs in patient care
• Demonstrated ability to manage large caseloads and effectively work in a fast paced environment
• Proficient with simultaneously navigating the internet and multi-tasking with multiple electronic documentation systems and business tools (Google, Slack, etc.)
• Comfort with ambiguity and change
• Experience in a high-growth, or other quickly changing environment
• Professional telephone and video skills 
• Self-motivated and results-focused 
• Client service excellence
• Quick learner who integrates new knowledge
• Organized and detail-oriented 
• Ability to handle competing demands with diplomacy and enthusiasm
• Ability to work collaboratively with clinical infrastructure and hierarchies
• Excellent time management and ability to prioritize work assignments
• Passion for Twin’s purpose to transform lives by empowering people to reverse, prevent and improve chronic metabolic diseases

Benefits

Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin

• A competitive compensation package in line with leading technology companies
• A remote and accomplished global team
• Opportunity for equity participation 
• Unlimited vacation with manager approval
• 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents
• 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
• 401k retirement savings plan