[Hiring] Chronic Disease Management-RN @Personify Health

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.