[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 tot his job Apply To this Job