Chronic Condition Case Manager RN

23 hours ago

Independence, United States Hines & Associates Inc Full time
Job DescriptionJob Description
Description:

About us

Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.'s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service.


What we offer

  • Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, and company paid life insurance.
  • 401k plan with company match, fully vested after 1 year.
  • Paid holidays and time off.
  • Work-life balance.
  • No weekends or holidays
  • Hybrid setting; up to 2 days per week remote.

Overview

Our Chronic Condition Manager role allows you to utilize your clinical nursing experience to develop a plan for meeting health care needs of the patient, while continuing to professionally grow in health care knowledge and perspective. Be the patient advocate you desire to be

In this key role, the ideal candidate will be responsible for utilizing medical knowledge to assess patient and provide individualized coaching for the purpose of developing a plan for meeting the health care needs and patient's goals of self-management of chronic medical conditions. The Chronic Condition Manager is accountable for telephonic assessment, planning, implementation, coordination, education, monitoring, evaluation and outcomes measurement. The Chronic Condition Manager is a patient advocate, promotes safety and maintains privacy and confidentiality in accordance with policies and procedures.


Duties and Responsibilities

  • Identify problems while assessing the patient's medical and psychosocial status, including environmental and cultural influences.
  • Determine economically responsible options available to meet the patient's medical and care needs,
  • Understand policy/benefit plans and systems.
  • Collaborate with physician(s), provider(s), and patient/family and payers to facilitate quality, timely and efficient medical care across the healthcare continuum.
  • Implement disease management plan by coordinating resources, including community resources, healthcare providers and significant others.
  • Evaluate the disease management plan and its effects on the patient and make modifications as necessary.
  • Improve the health outcomes and quality of life with reduced complications and costs for persons with chronic health conditions.
  • Promote patient self-management of chronic health conditions through individual assessment, education and use of motivational interviewing principles/techniques.
  • Utilizes clinical practice guidelines and promotes best care for people with chronic medical conditions
  • Demonstrate ability to communicate effectively with TPAs, insurers, physicians, patient/family, and other healthcare providers, including ability to negotiate with assertiveness.
  • Effectively communicate the disease case manager's impressions of methods available to provide for the medical needs of the individual patient or the need to refer to a higher level for review of questionable plans of treatment.
  • Provide written documentation concerning the information obtained regarding the patient's status, treatment plan and disease management interventions.
  • Interfaces with UM, CM and peer review, and other programs, as indicated on active cases.
  • Communicate knowledge of policy and procedure, standards of practice, and their revision; Participates in annual HIPAA, ethics, cultural, and URAC standards training.
  • Provide good customer relations by promoting good will and understanding between claimant, payer, providers and professional staff at all times.
  • Acts as an advocate, maintains privacy, confidentiality, promotes safety, and is compliant with policies and procedures, URAC standards and other regulatory standards.
  • Responsible for and retains accountability for the disease management plan and process when using assistance of support staff; provides input on the support staff to their supervisor.
  • Special projects as assigned by supervisor.

PM21

Requirements:

Qualifications

  • Registered nurse with current unrestricted license to practice in the state or in a state that has licensure reciprocation with the state of the office location that employee is working in. Registered Dietitian practices under current unrestricted registration as dictated by the Commission on Dietetic Registration.
  • Successful completion of disease management orientation program.
  • Minimum of 2 years full time equivalent of direct clinical care to the consumer.
  • Excellent communication skills.
  • Basic typing/computer knowledge with minimum keyboarding speed of 35 WPM.
  • Previous disease management or case management experience helpful but not required.
  • Obtaining certification in CCM or CHC is encouraged.

Physical requirements

  • No significant physical exertion required.

*Hines welcomes diversity and as an equal opportunity employer all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.*



PI2b1c08151461-25405-35300670

  • Chronic Condition Case Manager RN

    1 month ago

    Independence, United States Hines & Associates Inc Full time

    Job DescriptionJob DescriptionDescription:About usHines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.'s reputation as an industry leader is founded on over three decades of...

  • Chronic Condition Case Manager RN

    2 weeks ago

    Independence, United States Hines & Associates Inc Full time

    Job DescriptionJob DescriptionDescription:About usHines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.'s reputation as an industry leader is founded on over three decades of...

  • Chronic Condition Management Professional

    1 week ago

    Independence, Iowa, United States Hines & Associates Inc Full time

    About Hines & Associates Inc.Hines & Associates Inc. is a reputable and independent leader in personalized managed health care, committed to delivering comprehensive services with excellence and cost containment that meet your demands. With over three decades of innovative and professional health care expertise, we have established a reputation as an...

  • Chronic Condition Care Coordinator RN

    6 days ago

    Independence, Iowa, United States Hines & Associates Inc Full time

    About Hines & Associates Inc.We are a nationwide, independent leader in personalized managed health care, focused on delivering comprehensive services with program excellence and cost containment. Our reputation as an industry leader is founded on over three decades of innovative and professional health care excellence.What We OfferA competitive salary of...

  • Chronic Condition Care Specialist

    1 week ago

    Independence, Iowa, United States Hines & Associates Inc Full time

    About UsHines & Associates, Inc. is a nationwide leader in personalized managed healthcare, delivering comprehensive services with exceptional program excellence and cost containment.What We OfferCompetitive salary: $105,000 per annum, along with benefits including medical, dental, vision, long-term care, short-term disability, long-term disability, and...

  • RN Case Manager

    1 week ago

    Independence, United States Visiting Nurse Association of Ohio Full time

    Overview:Find out exactly what skills, experience, and qualifications you will need to succeed in this role before applying below.Join Our Growing Team!At the Visiting Nurse Association of Ohio, we’re seeking compassionate and dependable individual to join us a RN Case Manager - Mental Health in Western Cuyahoga and surrounding areas. The RN will be...

  • Nurse Case Manager

    7 days ago

    Independence, Ohio, United States Gentiva Health Services Full time

    Discover a fulfilling career with Gentiva Health Services, an industry leader in home health and hospice care. We are seeking a skilled Nurse Case Manager to join our team.About the RoleThis is a Per Diem opportunity for a Registered Nurse (RN) to provide high-quality patient care and support to individuals in their homes. As a Nurse Case Manager, you will...

  • Oncology Case Manager

    1 month ago

    Independence, United States Hines & Associates Inc Full time

    Job DescriptionJob DescriptionDescription:Nurses – are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates!About Us:Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to...

  • Home Health RN Case Manager: Compassionate Patient Care

    7 days ago

    Independence, Ohio, United States Heartland Home Health Full time

    About the RoleAs a Home Health RN Case Manager, you will play a vital role in delivering high-quality patient care in the comfort of patients' homes. This is an exciting opportunity to make a meaningful difference in people's lives, providing compassionate support and skilled nursing care to those who need it most.Salary & BenefitsWe offer a competitive...

  • Hospice Registered Nurse Case Manager

    3 months ago

    Independence, United States Suncrest Hospice Full time

    Why Suncrest:Make sure to apply quickly in order to maximise your chances of being considered for an interview Read the complete job description below.At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our...

  • RN - Home Health

    4 weeks ago

    Independence, United States Providence RN Full time

    Description Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is...

  • RN - Home Health

    1 month ago

    Independence, United States Providence RN Full time

    Description Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is...

  • RN - Home Health

    4 weeks ago

    Independence, United States Providence RN Full time

    Description Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is accountable for direct and indirect...

  • RN - Home Health

    4 weeks ago

    Independence, United States Providence RN Full time

    Description Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is...

  • RN - Home Health

    1 month ago

    Independence, United States Providence RN Full time

    Description Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is accountable for direct and indirect...

  • RN - Home Health

    1 month ago

    Independence, United States Providence RN Full time

    Description Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is...

  • RN - Home Health

    1 month ago

    Independence, United States Providence RN Full time

    Description Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is...

  • RN - Home Health

    4 weeks ago

    Independence, United States Providence RN Careers Full time

    Description Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is...

  • Clinical Nurse Case Manager

    1 week ago

    Independence, Ohio, United States Visiting Nurse Association of Ohio Full time

    **Job Overview**VNA of Ohio is a leading healthcare provider seeking a dedicated Clinical Nurse Case Manager to join our team in the East Cuyahoga territory. This full-time position involves providing comprehensive nursing care to patients across various age groups and health conditions. **About Us**We are committed to delivering compassionate, high-quality...

  • Geriatric Care Coordinator

    7 days ago

    Independence, Missouri, United States CenterWell Senior Primary Care Full time

    About CenterWell Senior Primary CareWe are a leading provider of senior-focused primary care, dedicated to putting patients at the center of their healthcare experience.Salary and BenefitsThe estimated salary for this role is $69,800 - $96,200 per year, with opportunities for bonuses and incentives. Our comprehensive benefits package includes medical,...