Nurse Care Manager - Disease Management jobs in United States
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Telligen ยท 1 month ago

Nurse Care Manager - Disease Management

positionWest Des Moines, IA
timeFull-time
remoteHybrid
seniorityMid Level
date3+ years exp

Telligen is one of the most respected population health management organizations in the country. As a Nurse Care Manager, you will be responsible for care management of patients with acute and chronic medical conditions and the assessment of care needs of vulnerable populations for various clients.

Health Care
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Culture & ValuesbadNo H1Bnote

Responsibilities

You will perform assessment and evaluation of potential care management patients per client contractual obligations and/or state requirements
You will collaborate with health care providers and ancillary service providers to validate appropriate treatment plans and identify educational opportunities
You will effectively guide members to appropriate member benefit information
You will provide ongoing education and communicate with all health care providers to ensure appropriateness of care
You may recommend and make adjustments in care if needed
You will evaluate treatment adherence and reevaluate the patient's commitment to make necessary changes
You will document per contractual requirements related to individual member status, and/or medical necessity review, negotiation
You will escalate issues through appropriate channels, following established hierarchical protocols between clinical and non-clinical staff members

Qualification

Current RN licenseCertified Case Manager (CCM)Clinical practice experienceBehavioral Health Nurse certificationDiabetic educator certification

Required

Current RN license
Four year degree in health care or related field and/or equivalent training and/or experience
Graduate of a Nationally Accredited Nursing Program
3 years clinical practice experience
Some contracts may require state specific licensure
Certified Case Manager (CCM) required within 3 years of hire for Case Management team positions

Preferred

Certified or experienced Behavioral Health Nurse
Certified diabetic educator (CDE)

Company

Telligen

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Telligen is a trusted partner for U.S. government health agencies.
dateFounded in 1972
location
West Des Moines, Iowa, USA
people-size501-1000 employees
web-link
https://www.telligen.com/

Funding

Current Stage
Late Stage

Leadership Team

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RheaAnn Frost-Clewell
Vice President Finance & Administration/CFO
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Brian Barry
Vice President - Enterprise Solutions & CIO
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Company data provided by crunchbase