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The Disease Management Nurse will perform telephonic/telehealth disease management to educate members to better understand their illnesses, to self-manage their conditions, maintain a healthy diet, and prevent hospitalizations or rehospitalizations. This responsibility is fulfilled to monitor members’ compliance with current disease specific clinical guidelines, educate members and caregivers on the specific disease processes, provide ongoing assessments, monitoring, re-evaluation of health-related needs and coordinate care among providers, members, and the community during the Disease Management Program enrollment.
Job Responsibility:
Perform telephonic/telehealth disease management to educate members to better understand their illnesses, to self-manage their conditions, maintain a healthy diet, and prevent hospitalizations or rehospitalizations
Monitor members’ compliance with current disease specific clinical guidelines
Educate members and caregivers on the specific disease processes
Provide ongoing assessments, monitoring, re-evaluation of health-related needs
Coordinate care among providers, members, and the community during the Disease Management Program enrollment
Requirements:
Requires a NYS Registered Nurse license and registration
Minimum of two (2) years clinical experience required
Disease management and Managed Care experience preferred
Knowledge of physical assessment and management of acute and chronic diseases
Strong critical thinking and problem-solving skills
Strong verbal and written communication skills
Ability to function with a high degree of autonomy
Ability to multitask, analyze situations and respond appropriately
Must possess an awareness of and sensitivity to cultural diversity and the various socio-economic levels of members and caregivers
Substantial interpersonal skills necessary to interact with members, their families, and to collaborate with health team members
Knowledge of Medicare and Medicaid regulations
Computer skills: Microsoft Word, Excel, UAS-NY, and Care Management software
Nice to have:
Disease management and Managed Care experience preferred
What we offer:
Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs
Tuition Reimbursement for all full and part-time staff
Dependent Tuition Reimbursement for clinical staff
Generous paid time off, including your birthday
Affordable and comprehensive medical, dental and vision coverage for employee and family members
Two retirement plans! 403(b) AND Employer Paid Pension
Flexible spending
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)