Disease Management Nurse occupation at AmeriBen/IEC Group in Meridian

AmeriBen/IEC Group is currently seeking to employ Disease Management Nurse on Fri, 09 Aug 2013 19:18:04 GMT. DESCRIPTION Assess and engage members for disease management program(s). This includes planning, coordinating, implementing, monitoring and evaluating the medical services required to meet the complex health needs of members enrolled in AmeriBen Disease Management program in order to maximize each member's capacity for self-care, to cost-effectively achieve desired clinical outcomes and to...

Disease Management Nurse

Location: Meridian Idaho

Description: AmeriBen/IEC Group is currently seeking to employ Disease Management Nurse right now, this occupation will be placed in Idaho. More details about this occupation opportunity kindly read the description below. DESCRIPTION

Assess and engage members for disease management program(s). This includes planning, coordinating, implementing, monitoring and evaluating the medical services required ! to meet the complex health needs of members enrolled in AmeriBen Disease Management program in order to maximize each member's capacity for self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care.

DUTIES

Key Result Areas

• Establish personal contact with patients and family members
• Assess the patient's current status, prognosis, future care needs, treatment plan and alternative treatment plans
• Coordinate care with case management Utilization Management Staff.
• Coordinate interventions with the members physicians.
• Develop and implement individualized Disease Management plans
• Evaluate effectiveness of care plan and progress made by patient
• Document findings and appropriate cost effective recommendations
• Capture and record any cost savings
• Act as a liaison between referral source, physician and member
• Maintain confidential! ity of records and information
• Maintain and report ap! plicable statistics regarding programs and patient services
• Document ongoing education and engagement
• Attend weekly on-site meetings
• Assist Marketing as well as Account & Business Development with projects related to promoting and selling our Disease Management services
• Performs all duties within the scope of her/his licensure.

QUALIFICATIONS

Minimum Qualifications

• Current unrestricted Idaho R.N. license. Bachelor Degree in nursing preferred.
• Clinical experience as well as a general understanding of clinical program design, implementation and management/monitoring to support choice in consumer medical care. Must understand the medical utilization implications of such programs
• Knowledge of HIPAA and DOL regulations
• Type 45 words per minute and experience working in Microsoft Word, Excel and Power Point.
• Strong interpersonal relationship skills and the ability to work effe! ctively with a diverse patient population.
• Ability to communicate effectively, both orally and in writing, medical information to health care professionals, employer groups, Brokers, stop loss personnel, internal customers, members and patient families
• Ability to work independently under general instruction and with a team
• Time management, Organizational, Research, Analytical, and Records Maintenance skills
• Negotiation skills
• Ability to work efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines
• Ability to efficiently and effectively perform the Essential Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self

Founded in 1958, AmeriBen/IEC Group is a privately held, Boise-based Third Party Administrator (TPA) of medical benefits in the 95th percentile for gross revenue in the United States. Candidates must be able to represent ! AmeriBen/IEC Group's core purpose in the marketplace, "Changing lives b! y developing great leaders in family, business, community and the world". In union with our Core Values of Integrity, Initiative, Good Judgment and Teamwork, our "Cores" form the foundation of our culture and act as the compass by which we navigate the road in business.
Key Result Areas

• Establish personal contact with patients and family members
• Assess the patient's current status, prognosis, future care needs, treatment plan and alternative treatment plans
• Coordinate care with case management Utilization Management Staff.
• Coordinate interventions with the members physicians.
• Develop and implement individualized Disease Management plans
• Evaluate effectiveness of care plan and progress made by patient
• Document findings and appropriate cost effective recommendations
• Capture and record any cost savings
• Act as a liaison between referral source, physician and member
• Maintain confide! ntiality of records and information
• Maintain and report applicable statistics regarding programs and patient services
• Document ongoing education and engagement
• Attend weekly on-site meetings
• Assist Marketing as well as Account & Business Development with projects related to promoting and selling our Disease Management services
• Performs all duties within the scope of her/his licensure.

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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to AmeriBen/IEC Group.

If you interested on this occupation just click on the Apply button, you will be redirected to the official website

This occupation starts available on: Fri, 09 Aug 2013 19:18:04 GMT

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