Disease Management Nurse - RN

POSITION SUMMARY:
This position is responsible for assessing, facilitating, planning, and advocating health needs of assigned members using established program.

 KNOWLEDGE, SKILLS, & ABILITIES:

  • Excellent verbal and written skills
  • Basic mathematical and statistical ability
  • Must be well organized
  • Basic computer knowledge
  • Knowledge of utilization review procedures/managed care
  • Knowledge of current health care practices and appropriate treatments of providers and services offered
  • Ability to work independently or with others (physicians, healthcare staff, etc.)

QUALIFICATIONS:

  • Associates degree or diploma
  • Valid Indiana State Registered Nurse License
  • Bachelor’s degree in Nursing - preferred
  • Certification in Case Management (CCM) - preferred

EXPERIENCE/TRAINING:

  • 2-4 years in an acute medical/surgical environment for medical case management
  • 2-4 years experience in Disease Management.  For CHF program – experience in Coronary Care Unit or cardiac nursing is preferred.
  • 1-3 years of related work experience in a managed care environment
  • A minimum of one year experience as Utilization Management Nurse in CMCS’ Medical Management department – preferred