RN Rare and Chronic Disease Manager

Job description

HealthPartners is hiring an RN Rare and Chronic Disease Manager. This position is focused on providing telephone-based services, including outreach, evaluation, engagement, education, counseling, self-management support, and care integration for individuals in chronic disease management programs. Implements performance improvement strategies as identified through review of patient and program outcomes. Demonstrates dependability for patients and disease management team. Facilitates communication between patient, health care provider, and community. Integrates and coordinates the expertise and support of other health professionals, family members, and health care providers across the care continuum. ACCOUNTABILITIES : Member/Patient Focus Ensures all activities are patient-focused and individualized, resulting in personalized attention to each individual’s unique needs. Identifies interventions and resources to assist patient in reaching personal health-related goals. Identifies patterns and improvement strategies to help patients improve their health and achieve optimal care goals. Integration: Refers to and co-manages with Complex Case Management and Inpatient Case Managers when p...