Disease Management Nurse

Req #:
4026

Job :
15429

Job Location:
New York, NY

Zip Code:
10041

Category:
Managed Care Nursing

Agency:
Elderplan

Status:
Regular Full-Time

Office:
Office-based

Salary:
$80,239.90 - $ per year

The challenges of affordable healthcare continue to create new opportunities. Elderplan and Home First, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Even in a non-clinical role, employees have an opportunity to make a positive impact on the quality of our health plan members' lives.

The MJHS Difference

At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Benefits include:

• Sign-on Bonuses OR Student Loan Assistance for clinical staff
• FREE Online RN to BSN and MSN degree programs!
• Tuition Reimbursement for all full and part-time staff
• Dependent Tuition Reimbursement for clinical staff!
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans ! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)

Responsibilities:

The Disease Management Nurse will perform telephonic/telehealth disease management to educate members to better understand their illnesses, to self-manage their conditions, maintain a healthy diet, and prevent hospitalizations or rehospitalizations. This responsibility is fulfilled to monitor members' compliance with current disease specific clinical guidelines, educate members and caregivers on the specific disease processes, provide ongoing assessments, monitoring, re-evaluation of health-related needs and coordinate care among providers, members, and the community during the Disease Management Program enrollment.

Qualifications:

• Requires a NYS Registered Nurse license and registration
• Minimum of two (2) years clinical experience required
• Disease management and Managed Care experience preferred
• Knowledge of physical assessment and management of acute and chronic diseases
• Strong critical thinking and problem-solving skills
• Strong verbal and written communication skills
• Ability to function with a high degree of autonomy
• Ability to multitask, analyze situations and respond appropriately
• Must possess an awareness of and sensitivity to cultural diversity and the various socio-economic levels of members and caregivers
• Substantial interpersonal skills necessary to interact with members, their families, and to collaborate with health team members
• Knowledge of Medicare and Medicaid regulations
• Computer skills:
  Microsoft Word, Excel, UAS-NY, and Care Management software