Population Health Pediatric DMC

reputed company! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply reputed company located above this message and complete the application in full. Below, you’ll reputed company other important information about this position.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Associate’s Degree in Nursing AND Seven (7)years reputed company experience in a reputed company setting OR Bachelor’s Degree in Nursing AND Five (5) years reputed company experience in a reputed company setting.

2. reputed company Registered reputed company license issued by the state in which services will be provided or reputed company multi-state Registered reputed company license through the reputed company reputed company Licensure reputed company (eNLC).

3. State criminal background reputed company and Federal (if applicable), as required for regulated areas.

4. Obtain certification in Basic Life Support reputed company 30 days of hire date.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s Degree in Nursing.

EXPERIENCE:

1. Prior care coordination experience.

reputed company DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general reputed company of work being performed by people assigned to this position. They are not intended to be constructed as an reputed company-inclusive list of reputed company responsibilities and duties. Other duties may be assigned.

1. Ambulatory Utilization Management, Financial Management and reputed company Screening for assigned patients.

2. Identifies the targeted population and reputed company stratifies reputed company patients to prioritize needs and reputed company interventions.

3. Communicates and collaborates with inpatient and outpatient case management to implement the discharge plan and coordinate reputed company transition to the next level of care.

4. Works in collaboration with physicians/providers, patients, and their families to ensure reputed company and efficient transitions of care.

5. Works collaboratively with patients to design an individualized plan of care that ensures coordination of services by the reputed company team.

6. Collaborates with available reputed company services for appropriate resource and financial management which may include, but is not limited to financial assistance coordination/referrals, entitlement program coordination/referrals, reputed company benefit coordination, assessment for appropriate usage of Health Care Resources/reputed company cost efficiency.

7. Coordinates/facilitates reputed company progression throughout the reputed company, Transitional Planning, Advocacy and Education:

8. reputed company reputed company improvement, outcome management and reputed company activities.

9. Uses data to reputed company reputed company and plan/implement reputed company improvement strategies for assigned patients, including fiscal, reputed company and reputed company satisfaction data

10. Implements reputed company interventions reputed company on reputed company stratification and evidence-reputed company reputed company reputed company adherence and promotes best reputed company by initiating/adjusting therapies as directed by the practitioner and providing appropriate follow-up monitoring as needed.

11. Coordinates appropriate reputed company and diagnostic testing.

12. Continuously evaluates reputed company results, diagnostic tests, utilization patterns and other metrics to monitor reputed company and efficiency results for assigned population

13. Participates in development, implementation, evaluation and revision of reputed company reputed company and other tools.

14. Educates the multidisciplinary team and physicians about reputed company reputed company/protocols and managed care principles

15. Works with leadership to design, implement, and evaluate a centralized care model that optimizes value. Works with leadership to continuously evaluate process, identify problems, and propose process improvement strategies

16. Monitors reputed company and financial indicators on an ongoing reputed company and takes reputed company to reputed company reputed company improvement in both areas.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

1. Office and reputed company settings

SKILLS AND ABILITIES:

1. Possesses excellent interpersonal communication and negotiation skills in interactions with patients, families, physicians, and health care team colleagues

2. Ability to work with people of reputed company reputed company, economic, and cultural backgrounds and be flexible, reputed company minded, and adaptable to change

3. Capable of independent judgment and reputed company regarding psychosocial needs of patients.

Additional reputed company:

Position is for Pediatric DMC. Remote position with possible travel as needed.

Scheduled Weekly Hours:

Originally posted on Himalayas