[Hiring] Chronic Disease Management-RN @Personify Health
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
As a Full-Time Disease Management Nurse, you will telephonically coordinate wellness and disease management, with a primary focus on conditions such as:
• Diabetes
• Asthma
• COPD
• CAD
• CHF
• Atrial fibrillation
• Hypertension
• Hyperlipidemia
What You'll Actually Do:
• Contact targeted member for health promotion and restoration by the use of national care guidelines to compare patient’s current level of care with industry standards.
• Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health; create an individual care plan for each patient; provide close follow-up with patients actively managed.
• Work with patients to ensure they have a primary care provider; assist in referrals to specialists if needed; assist in obtaining durable medical equipment, review pricing for high-cost drugs.
• Evaluate and make referrals for case management, prenatal program or pharmacology review as indicated.
• Document interventions and patient contact; maintain privacy of member’s records and assist in providing quarterly reports to clients.
• Track groups of high-risk members and interventions to show overall health improvement within the organization.
• Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis.
Qualifications
• Graduation from an accredited RN program and possession of a current United States RN license. May require additional licensing as business needs change.
• Prior experience in case management, coordinating wellness programs, or an equivalent combination of education and experience.
Requirements
• Strong written and verbal communication skills
• Proficient in Microsoft Excel, Word, PowerPoint and Outlook
• Demonstrate ability to work independently with excellent judgment
• Excellent interpersonal and communication skills including able to give presentations to groups and individuals as needed.
• Good time management skills, highly organized.
Benefits
• Comprehensive medical and dental coverage through our own health solutions
• Mental health support and wellness programs designed by experts
• Flexible work arrangements
• Retirement planning support
• Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
• Employee savings programs and voluntary benefits
• Professional development opportunities and clear career progression paths
• Mentorship from industry leaders
• Learning budget to invest in skills
• Competitive base salary
• PTO policy
• Benefits effective day one
Apply Now
Apply Now
Role Description
As a Full-Time Disease Management Nurse, you will telephonically coordinate wellness and disease management, with a primary focus on conditions such as:
• Diabetes
• Asthma
• COPD
• CAD
• CHF
• Atrial fibrillation
• Hypertension
• Hyperlipidemia
What You'll Actually Do:
• Contact targeted member for health promotion and restoration by the use of national care guidelines to compare patient’s current level of care with industry standards.
• Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health; create an individual care plan for each patient; provide close follow-up with patients actively managed.
• Work with patients to ensure they have a primary care provider; assist in referrals to specialists if needed; assist in obtaining durable medical equipment, review pricing for high-cost drugs.
• Evaluate and make referrals for case management, prenatal program or pharmacology review as indicated.
• Document interventions and patient contact; maintain privacy of member’s records and assist in providing quarterly reports to clients.
• Track groups of high-risk members and interventions to show overall health improvement within the organization.
• Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis.
Qualifications
• Graduation from an accredited RN program and possession of a current United States RN license. May require additional licensing as business needs change.
• Prior experience in case management, coordinating wellness programs, or an equivalent combination of education and experience.
Requirements
• Strong written and verbal communication skills
• Proficient in Microsoft Excel, Word, PowerPoint and Outlook
• Demonstrate ability to work independently with excellent judgment
• Excellent interpersonal and communication skills including able to give presentations to groups and individuals as needed.
• Good time management skills, highly organized.
Benefits
• Comprehensive medical and dental coverage through our own health solutions
• Mental health support and wellness programs designed by experts
• Flexible work arrangements
• Retirement planning support
• Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
• Employee savings programs and voluntary benefits
• Professional development opportunities and clear career progression paths
• Mentorship from industry leaders
• Learning budget to invest in skills
• Competitive base salary
• PTO policy
• Benefits effective day one
Apply Now
Apply Now