Chronic Condition Management Specialist

5 days ago


Manchester, New Hampshire, United States Hines & Associates Inc Full time
About the Role

Hines & Associates Inc. is a leading provider of personalized managed healthcare services. We are seeking a skilled Chronic Condition Management Specialist to join our team.

Key Responsibilities
  • Assess patient medical and psychosocial status, identifying problems and determining economically responsible options for care.
  • Collaborate with physicians, providers, and payers to facilitate quality, timely, and efficient medical care across the healthcare continuum.
  • Implement disease management plans by coordinating resources, including community resources, healthcare providers, and significant others.
  • Evaluate disease management plans and their effects on patients, making modifications as necessary.
  • Improve health outcomes and quality of life for individuals with chronic health conditions, reducing complications and costs.
  • Promote patient self-management of chronic health conditions through individual assessment, education, and motivational interviewing principles/techniques.
  • Utilize clinical practice guidelines and promote best care for individuals with chronic medical conditions.
  • Demonstrate effective communication and negotiation skills with TPAs, insurers, physicians, patients, and other healthcare providers.
Requirements
  • Registered nurse with current unrestricted license to practice in the state or a state with licensure reciprocation.
  • Successful completion of disease management orientation program.
  • Minimum of 2 years of full-time equivalent direct clinical care experience.
  • Excellent communication skills.
  • Basic typing/computer knowledge with a minimum keyboarding speed of 35 WPM.
  • Previous disease management or case management experience is helpful but not required.
About Hines & Associates Inc.

Hines & Associates Inc. is a nationwide, independent leader in personalized managed healthcare services. We are committed to providing comprehensive services with program excellence and cost containment. Our reputation as an industry leader is founded on over three decades of innovative and professional healthcare excellence.



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