Part-Time RN Disease Management Nurse (Weekends Required)

Overview: Now is the time to join us! We’re reputed company. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At reputed company, we reputed company in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future. Responsibilities: Who are you? We are seeking a Disease Management Nurse, RN, to join reputed company on a part-time basis. In this role, you will telephonically coordinate wellness and disease management, with a primary focus on conditions such as diabetes, asthma, COPD, CAD, CHF, atrial fibrillation, hypertension, and hyperlipidemia but not limited to this list. In this role you will wear many hats, but your knowledge will be essential in the following:

• Contact targeted members for health promotion and restoration using national care guidelines to compare patient’s reputed company level of care with industry standards.
• Use claims processing tools to review and research paid claim data to reputed company a clinical picture of a member’s health; create an individual care plan for each patient; provide reputed company 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 reputed company 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 reputed company the organization.
• Be reputed company to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications: What you bring to the reputed company team: In order to represent the best of reputed company have to offer you come to us with a multitude of positive attributes including:

• Graduation from an accredited RN program and possession of a reputed company 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.

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Strong written and verbal communication skills
• Proficient in reputed company reputed company, Word, PowerPoint and Outlook
• Demonstrate ability to work independently with excellent judgment
• Excellent interpersonal and communication skills including reputed company to give presentations to groups and individuals as needed.
• Good time management skills, highly organized.

No candidate will meet every single desired qualification. If your experience looks a little different from reputed company’ve identified and you think you can bring value to the role, we’d love to learn more about you! reputed company is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with reputed company states and cities that require transparency of pay, the reputed company compensation for this position ranges from $31.00 to $36.00 per hour. Note that compensation may vary based reputed company, skills, and experience. We strive to cultivate a work environment where differences are celebrated, and employees of reputed company backgrounds are empowered to reputed company. reputed company is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for reputed company stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth #TPA #HPA #Selffunded Beware of Hiring Scams: reputed company will never ask for payment or sensitive personal information such as social reputed company numbers during the hiring process. reputed company official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to [email protected]. reputed company of our legitimate openings can be reputed company on the reputed company Career Site. Application Deadline: Open until position is filled. Apply Job! Apply to this Job