Disease Management Nurse New

Come lead with us at New York, NY

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, 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 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.

• 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