Disease Manager - RN at Watertown

Job Description

Tufts Health Plan provides a spectrum of health management programs for members with chronic and/or complex medical conditions. Reporting to the Care Management Team Manager, the Disease Manager Nurse willdemonstrate strengths working independently as well as collaboratively within a team environment. An understanding of the Department business objectives and outcome measures is important to the accountability of the Disease Manager Nurse and the success of the Tufts Health Plan Health Management Program.

The Disease Manager Nurse will provide telephonic intervention to support members with chronic illness including administer a comprehensive disease specific assessment to determine the members specific opportunities for intervention. The goal of the Tufts Health Plan Health Management program is to provide education and health coaching to improve understanding and self management of the individuals chronic disease/condition. Support to the members, both adult and/or pediatric, who participate in the program, will result in decreased unnecessary hospital admissions and decreased emergency room visits and improved disease self management for the individual member.

Job Requirements

Qualifications (Minimum education & experience level required):

Education:

Registered Nurse with current unrestricted state license required. Bachelors in Nursing Required. National Certification in Disease or Case Management is highly desirable.

Experience:

Minimum of five years of clinical nursing experience in various settings with a focus on chronic health conditions

Minimum of 2 years experience required in disease management or chronic condition education specialist. For this position specific experience with heart failure and/or chronic obstructive pulmonary disease is required.

Proficiency in a second language is highly desirable

Skill requirements (include complexity of position and specify whether the job regularly requires independent judgment and discretion):

• Address multiple complex issues throughout the workday in a flexible professional manner.
• Identify emergency situations and follow the appropriate protocol
• Prioritize work to meet the needs of the member, the Department, and Tufts HP Corporate
• Knowledge and experience in effective disease management interventions and strategies across populations
• Demonstrate strong clinical and critical thinking abilities
• Excel in positive relationship building.
• Effective listening skills, written and verbal communication abilities
• Skilled negotiator
• Perform critical analysis, plan, organize, promote client family autonomy
• Computer literate

Interpersonal skills (include personal interaction):

• Ability to perform job functions with autonomy
• Ability to collaborate with team members, medical providers, department management on job expectations and outcomes
• Must possess excellent interpersonal skills with an understanding of differences between the need to promote change while maintaining positive rapport with members, family members, and providers.
• Must develop and maintain positive communication to promote managed care philosophy
• Must have commitment to excellence in customer service

Confidential data:

All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material. Must adhere to corporate compliance policy, department guidelines/policies and all applicable laws and regulations at all times.

Working Conditions or Additional requirements (include special requirements, e.g., lifting, travel, overtime)

• Fast paced office environment handling multiple demands.
• Must be able to work 11:00AM to 7:30PM or 11:30AM to 8:00PM up to 1 2 evenings per week as program develops.
• Must be able to exercise appropriate judgment when necessary.
• Must be able to work and communicate with customers in a telephonic office environment

Additional Requirements

Travel required on an as needed basis. Occasional evening, weekend, early morning or extended day work may be required.

Country: USA, State: Massachusetts, City: Watertown, Company: Tufts Health Plan.