[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 members for health promotion and restoration using national care guidelines. • 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 and provide close follow-up with patients actively managed. • Work with patients to ensure they have a primary care provider and assist in referrals to specialists if needed. • Assist in obtaining durable medical equipment and 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 while maintaining privacy of member’s records. • Assist in providing quarterly reports to clients. • Track groups of high-risk members and interventions to show overall health improvement within the organization. • 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. • 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 the ability to give presentations to groups and individuals as needed. • Good time management skills and 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 that fit your life. • Retirement planning support to help you build real wealth for the future. • Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection. • Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage. • Professional development opportunities and clear career progression paths. • Mentorship from industry leaders. • Learning budget to invest in skills that matter to your future. • Competitive base salary that rewards your success. • PTO policy because rest and recharge time is non-negotiable. • Benefits effective day one. Apply tot his job Apply To this Job