Disease Management Coordinator
Job in
Elkins, Randolph County, West Virginia, 26241, USA
Listing for:
United Hospital Center
Full Time
position
Listed on 2026-03-06
Job specializations:
-
Healthcare
Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly
USD
60000.00
80000.00
YEAR
Job Description & How to Apply Below
The Disease Management Coordinator collaborates with patients and primary care providers to ensure patients receive quality, efficient, and cost‑effective healthcare services. Coordinates, monitors, and evaluates all options and services to optimize a patient's health status.
MINIMUM QUALIFICATIONS
Associate's Degree in Nursing AND Seven(7) years clinical experience in a healthcare setting OR Bachelor's Degree in Nursing AND Five (5) years clinical experience in a healthcare setting.Current Registered Nurse license issued by the state in which services will be provided or current multi‑state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).State criminal background check and Federal (if applicable), as required for regulated areas.Obtain certification in Basic Life Support within 30 days of hire date.PREFERRED QUALIFICATIONS
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
Bachelor's Degree in Nursing.EXPERIENCE:
Prior care coordination experience.CORE DUTIES AND RESPONSIBILITIES
The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all‑inclusive list of all responsibilities and duties. Other duties may be assigned.
Ambulatory Utilization Management, Financial Management and Quality Screening for assigned patients.Identify the targeted population and risk stratify all patients to prioritize needs and direct interventions.Communicate and collaborate with inpatient and outpatient case management to implement the discharge plan and coordinate a safe transition to the next level of care.Work in collaboration with physicians/providers, patients, and their families to ensure safe and efficient transitions of care.Work collaboratively with patients to design an individualized plan of care that ensures coordination of services by the healthcare team.Collaborate with available social services for appropriate resource and financial management which may include, but is not limited to financial assistance coordination/referrals, entitlement program coordination/referrals, patient benefit coordination, assessment for appropriate usage of Health Care Resources/clinical cost efficiency.Coordinate/facilitate patient progression throughout the continuum, Transitional Planning, Advocacy and Education.Clinical performance improvement, outcome management and quality activities.Use data to drive decisions and plan/implement performance improvement strategies for assigned patients, including fiscal, clinical and patient satisfaction data.Implement clinical interventions based on risk stratification and evidence‑based clinical guideline adherence and promote best practice by initiating/adjusting therapies as directed by the practitioner and providing appropriate follow‑up monitoring as needed.Coordinate appropriate laboratory and diagnostic testing.Continuously evaluate laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.Participate in development, implementation, evaluation and revision of clinical pathways and other tools.Educate the multidisciplinary team and physicians about clinical pathways/protocols and managed care principles.Work with leadership to design, implement, and evaluate a centralized care model that optimizes value. Work with leadership to continuously evaluate process, identify problems, and propose process improvement strategies.Monitor clinical and financial indicators on an ongoing basis and take action to achieve continuous improvement in both areas.PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
WORKING ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable…
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