RN Case Manager - Managed Care REMOTE

Job Description

Job Description

Job Title : Registered Nurse (RN) Disease Manager

Job Overview :
The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or complex health conditions. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.

Key Responsibilities :

• Patient Assessment : Conduct comprehensive assessments of patients’ physical, emotional, and psychosocial needs related to their chronic conditions.

• Care Coordination : Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients.

• Disease Education : Provide education to patients and their families regarding their diagnoses, treatment plans, and self-management techniques to improve disease outcomes.

• Case Management : Monitor patient progress and adjust care plans as necessary. Ensure that patients are following their prescribed treatment and managing their conditions effectively.

• Data Management and Reporting : Track patient outcomes and document interactions accurately. Utilize health information technology to document care, track patient progress, and report to appropriate stakeholders.

• Advocacy : Advocate for the patient’s needs, including obtaining necessary resources or services that will improve their health outcomes.

• Prevention and Health Promotion : Promote preventive care, including vaccinations, screenings, and lifestyle modifications to reduce the impact of chronic conditions.

• Collaboration with Providers : Maintain communication with healthcare providers to ensure continuity of care, timely follow-ups, and updates on patient status.

Qualifications :

• Education : Bachelor’s Degree in Nursing (BSN) or an Associate's Degree in Nursing (ADN) with appropriate certifications.

• Licensure : Current Registered Nurse (RN) license in the state of employment.

• Experience : 3-5 years of clinical nursing experience, preferably in disease management, case management, or a related field.

• Certifications : Certification in Disease Management (CDM), Case Management (CCM), or other relevant certifications preferred.

• Skills : Strong communication, problem-solving, and critical thinking skills. Ability to work independently and as part of a team. Proficiency with electronic health records (EHR) and other healthcare technology.