Disease Manager
Disease Manager
Hybrid schedule with 3 days on site and 2 from home. Focuses on high-cost/high-utilizer patient review, reducing ER visits/readmissions, care transitions, follow-ups, and chronic condition assessments; some weekends required.
Summary
1) This is a Hybrid Position (3 days on site and 2 days' work from home). This could change at any time based on business needs 2) Review patients who are high cost/high utilizers 3) Reduce ER visits/readmissions/long length of stay 4) Assist member with any SDOH issues that may arise 5) Streamline transition in and out of the hospital 6) Schedule follow-up appointments after inpatient discharge and/or ER visits 7) Develop effective working relationships with PCPs, Specialists, care team members, Administrative Leadership and Physician Champion 8) Address all chronic conditions assessments 9) Develop and maintain excellent working knowledge of disease management/care manager/health coaching skills and systems; stays abreast of current/upcoming enhancements to this field of knowledge; maintain excellent knowledge of disease state assigned 10) Attend trainings that are required through this program 11) Must be proficient in Excel 12) Excellent computer skills
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MINIMUM Education:
MINIMUM WORK EXPERIENCE:
KNOWLEDGE & SKILLS:
REQUIRED LICENSES, Certificates, Registrations:
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