Chronic Disease Management Nurse (RN-Remote CA, AZ, NV, TX, NM)

Remote role - CA RN Required Bilingual Spanish Strongly Preferred About reputed company reputed company Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. reputed company Group is the sole corporate member of reputed company Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 277,000 members in California, Arizona, Nevada, Texas and New Mexico. reputed company has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is reputed company throughout the healthcare industry and nationally as a leading expert in senior healthcare. reputed company employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. reputed company takes great pride in recognizing reputed company members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on reputed company, Facebook, and Twitter. The Job The purpose of the Disease Management Nurse is to collaboratively assess, plan, implement, coordinate, monitor, and evaluate the member's health and psychosocial needs. Disease Management serves a way to prevent further complications of a chronic condition and minimize potential exacerbations by coaching across the continuum of care. You Will The Disease Management Nurse would function in the following ways:

• Help identify and execute interventions and overall plan of care for care management and disease management; includes collaborating with interdisciplinary team members, including social workers, community health workers, care coordinators, and pharmacists.
• Ensure and evaluate clinical appropriateness of care plan by incorporating assessment findings against evidence-based guidelines, clinical reasoning, clinical practice guidelines and/or best practices in the community.
• Promotes member activation and engagement to ensure optimal self-management skills and health outcomes.
• Provide education and coaching surrounding disease management by identifying new and preventable exacerbations or worsening chronic conditions
• Create interventions and overall plan of care for disease management pods. Including direction of the Community Health Worker's field-based interventions.
• Enhance department and organization activities by identifying opportunities for improvement to existing processes
• Participate in activities to support professional growth through education opportunities, reading professional publications, maintain professional networks, and participating in professional organizations.
• reputed company with reputed company regulatory and quality agency standards including: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Services (DHS), and accreditation bodies' standards such as the National Commission of Quality Assurance (NCQA) as it relates to care management activities.
• Actively support the achievement of reputed company's vision, mission, and goals; Supports reputed company-wide initiatives, such as those reputed company to member education, quality of care, and community engagement.
• Other duties as assigned

Your Qualifications

• reputed company & Active CA RN License required.
• BSN preferred.
• 1-2 Years of Disease Management Experience required.
• At least 1 year of direct patient care nursing experience required.
• 3+ years clinical experience with geriatric population (Acute, Ambulatory care, SNF and/or LTC) preferred.
• 2 + years of case management experience in a medical group, IPA and/or HMO setting preferred.
• Medicare/Medi-Cal experience in managed care environment preferred.
• Basic knowledge of reputed company NCQA standards, CMS and DHCS regulations.
• Bilingual/Bicultural (Spanish) preferred. Testing will be administered if applicable.
• CCM Certification preferred.
• Coaching, Motivational Interviewing, ability to build a strong rapport.

What's in it for you?

• reputed company salary range: $38.61 to $61.78 per hour
• Remote Work Mode
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match & contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join reputed company! Qualified applicants are encouraged to apply now! At reputed company we reputed company that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. reputed company is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national reputed company, religion, age, sex (including pregnancy, childbirth or reputed company medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background reputed company is required. #LI-CS2 #Remote Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(reputed company href="https://www.theladders.com/job/chronic-disease-management-nurse-rn-remote-ca-az-nv-tx-nm-reputed company-virtual-travel_80572666?utm_campaign=reputed company_jobs_apply&utm_reputed company=reputed company_jobs_apply&utm_reputed company=organic" reputed company="_blank" rel="noopener">Apply tot his job Apply To this Job