DISEASE MANAGEMENT NURSE - MO
Location: Maryland Heights, Missouri
Description: The Judge Group is hiring DISEASE MANAGEMENT NURSE - MO right now, this occupation will be reside in Missouri. More complete informations about this occupation opportunity kindly see the descriptions. Judge Healthcare is hiring Disease Management RNs to work in a telephonic office environment in Maryland Heights, MO.This is a full time contract opportunity that will run through t! he end of the year.
The Disease Management Care Coordinator (DMCC) makes outbound calls to assess the members current health status and understanding of their chronic condition. The DMCC identifies gaps or barriers that would prevent the member from following through with a recommended treatment plan consistent with optimal care for specified disease condition. The DMCC provides education to assist with self-management, provides information on network access, and identifies and implements interventions and resources that address and close gaps in care.
Major Responsibilities:
- Within designated timeframes, contact member identified for the specific disease management program and promote program enrollment. Following enrollment, conduct an initial assessment of the members clinical, behavioral, social, environmental and health-related financial circumstances or needs that may impact compliance with the optimal treatment plan.
- Fol! lowing assessment, prioritize care needs and develop a plan of! care to address gaps and or barriers, as well as to track the members health status and progress in achieving clinical and personal goals.
- Promote the patient/provider relationship to support compliance with nationally established guidelines of care.
- Conduct follow-up assessments or interventions based on members needs.
- Conduct PRN calls when key gaps are identified that require additional nursing follow-up.
- Engage member, family, caregivers, and health care providers to assure that a well-coordinated longitudinal treatment plan is established.
- Employ a holistic approach to patient care and integrate the members life and motivational goals into the care plan Identify lifestyle or behavior modification needs, direct member to available resources and reinforce behavior modification changes Work to facilitate patient compliance and ensure continuity of care.
- Monitor and evaluate members response to treatment and work with ! providers and medical directors to revise care plans as needed.
- Provide education, information, direction and support related to care goals of member.
- Coordinates acquisition and proper use of medical equipment, initially and on an ongoing basis.
- Assure that member receives appropriate fulfillment materials for condition.
- Document assessments, interventions and follow-up activities in the Care Coordination System Work with supervisors to regularly assess the effectiveness and quality of services provided to members by analyzing outcomes (clinical, process, member satisfaction and financial).
- Maintain a focus on timely, quality customer service.
- Maintain a focus on call efficiency and operational metrics.
- Follow direction from supervisors regarding policy & procedures, training, or management of the member As requested, participate in demonstrations to customers or other parties interested in the disease manageme! nt program Obtain certification in disease management if requested and ! supported client.
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If you were eligible to this occupation, please give us your resume, with salary requirements and a resume to The Judge Group.
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This occupation will be opened on: Tue, 12 Nov 2013 06:29:43 GMT
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