Chronic Condition Manager RN

3 weeks 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.*



PI715a290093c2-25405-35300670

  • Chronic Condition Manager RN

    2 days ago

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

    About Hines & Associates IncHines & Associates Inc is a leading provider of personalized managed healthcare services, dedicated to delivering comprehensive solutions that meet the unique needs of our clients.Job OverviewWe are seeking a highly skilled and experienced Chronic Condition Manager RN to join our team. As a key member of our healthcare team, you...

  • Chronic Condition Manager RN

    3 days ago

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

    About Hines & Associates Inc.Hines & Associates Inc. is a leading provider of personalized managed healthcare services, dedicated to delivering comprehensive solutions that meet the unique needs of our clients. With a strong focus on quality care and cost containment, we strive to make a positive impact on the lives of those we serve.Job SummaryWe are...

  • Chronic Condition Management Professional

    3 days ago

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

    Job Title: Chronic Condition Manager RNAbout the RoleHines & Associates, Inc. is seeking a skilled and compassionate Registered Nurse to fill the position of Chronic Condition Manager RN. As a key member of our team, you will play a vital role in developing and implementing personalized care plans for patients with chronic medical conditions.Key...

  • Chronic Condition Management Professional

    3 weeks ago

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

    About Hines & Associates IncHines & Associates Inc is a leading provider of personalized managed health care services, dedicated to delivering comprehensive solutions that meet the unique needs of our clients. With a strong focus on quality care and cost containment, we strive to make a positive impact on the lives of those we serve.Job SummaryWe are seeking...

  • Chronic Condition Manager RN

    3 days 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 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

    4 days ago

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

    About Hines & Associates IncHines & Associates Inc is a leading provider of personalized managed health care services, dedicated to delivering comprehensive solutions that meet the unique needs of our clients. With a strong focus on quality, cost containment, and patient-centered care, we strive to make a positive impact on the lives of those we serve.Job...

  • Chronic Condition Management Professional

    3 days ago

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

    About UsHines & Associates, Inc. is a leading provider of personalized managed health care services, dedicated to delivering exceptional patient outcomes and cost-effective solutions. With a strong commitment to innovation and excellence, we have established ourselves as a trusted partner in the healthcare industry.What We OfferCompetitive compensation and...

  • Chronic Condition Management Professional

    2 weeks ago

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

    About Hines & Associates IncHines & Associates Inc is a leading provider of personalized managed health care services, dedicated to delivering comprehensive and cost-effective solutions to meet the unique needs of our clients.Job SummaryWe are seeking a skilled and compassionate Chronic Condition Manager RN to join our team. As a key member of our healthcare...

  • Chronic Condition Management Specialist

    3 days ago

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

    {"title": "Chronic Condition Manager Role Overview", "content": "Hines & Associates, Inc. is a nationwide, independent leader in personalized managed health care, focused on delivering comprehensive services with program excellence and cost containment.As a Chronic Condition Manager, you will utilize your clinical nursing experience to develop a plan for...

  • Chronic Condition Management Professional

    4 weeks ago

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

    About Hines & Associates IncHines & Associates Inc is a nationwide, independent leader in personalized managed health care, focused on delivering comprehensive services with program excellence and cost containment.What We OfferCompetitive salary and benefits package, including medical, dental, vision, long-term care, short-term disability, long-term...

  • Travel Nurse RN Position

    2 weeks ago

    Independence, Missouri, United States Nurses First Solutions Full time

    Job DetailsNurses First Solutions is seeking a skilled travel nurse RN for a Cardiac Cath Lab position in Independence, Missouri.Job RequirementsSpecialty: Cardiac Cath LabDiscipline: RNDuration: 13 weeks40 hours per weekShift: 10 hours, daysEmployment Type: TravelAs a travel nurse RN, you will be responsible for providing patient care and educating patients...

  • Travel Nurse RN Position

    3 weeks ago

    Independence, Missouri, United States Nurses First Solutions Full time

    Job Title: Cardiac Cath Lab RNNurses First Solutions is seeking a skilled Cardiac Cath Lab RN to join our team.Job Summary:We are looking for a dedicated and compassionate RN to provide high-quality patient care in our Cardiac Cath Lab. As a Cardiac Cath Lab RN, you will be responsible for assessing and analyzing patient health status, developing...

  • Travel Nurse RN Position

    3 weeks ago

    Independence, Missouri, United States Nurses First Solutions Full time

    Job Title: Rehabilitation Travel Nurse RNNurses First Solutions is seeking a skilled travel nurse RN to join our team in Independence, Missouri.Job SummaryWe are looking for a dedicated and compassionate registered nurse to provide high-quality patient care in a rehabilitation setting. As a travel nurse RN, you will have the opportunity to work with a...

  • Travel Nurse RN

    3 weeks ago

    Independence, Missouri, United States Nurses First Solutions Full time

    Job Title: Rehabilitation NurseNurses First Solutions is seeking a skilled Rehabilitation Nurse to join our team.Job Summary:We are looking for a dedicated and compassionate Rehabilitation Nurse to provide high-quality patient care in a rehabilitation setting. As a Rehabilitation Nurse, you will be responsible for assessing and analyzing patient health...

  • RN/LPN Visit Nurse

    2 months ago

    Independence, United States Advantage Home Care Full time

    We are looking to hire a part time LPN/RN to do in-home nurse visits in the Springfield Area. *Now offering referral Bonuses* Advantage Home Care is looking for motivated and reliable RN/LPN to provide support services to individuals with chronic medical conditions in a residential setting. Visits typically take 15 minutes to an hour each. Advantage offers...

  • School Nurse

    4 weeks ago

    Independence, United States Soliant Full time

    Job DescriptionJob DescriptionMinimum 1+ years nursing experience required.Details Position Type: Full Time, 37.5 hours Caseload: Floating through district Pay range: $31 - 38/hrResponsibilities:Provide direct healthcare services to students, including first aid, administering medications, and managing chronic health conditions. Assess and respond to...

  • RN Virtual Care Nurse-Virtual Care Enterprise Admin

    3 weeks ago

    Independence, United States Metro Health Full time

    Location: BROOKLYN HEIGHTS Biweekly Hours: 80.00 Shift: Various Start Times Between 7a-11a The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal...

  • Registered Nurse

    3 months ago

    Independence, United States Fresenius Medical Care Full time

    PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may...

  • Travel Nurse RN Position

    3 days ago

    Independence, Missouri, United States Nurses First Solutions Full time

    Job Title: Cardiac Cath Lab NurseNurses First Solutions is seeking a skilled Cardiac Cath Lab nurse to join our team. As a travel nurse, you will have the opportunity to work in a dynamic and challenging environment, providing high-quality patient care and education.Job Responsibilities:Provide patient care and education to patients and their familiesAssess...