Health Management Registered Nurse

    • Job Tracking ID: 512935-599724
    • Job Location: Meridian, ID
    • Job Level: Mid Career (2+ years)
    • Level of Education: 2 year degree
    • Job Type: Full-Time/Regular
    • Date Updated: November 29, 2017
    • Years of Experience: 2 - 5 Years
    • Starting Date: January 15, 2018
    • Salary Type:: Salary
    • Rate:: Starting at $50,000 (DOE)
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Job Description:

Are you ready for a new career path?
Do you want to land a more fulfilling job than the one you're in now?
Are you looking for a company that values integrity, initiative, good judgment and teamwork?
As a part of our continued growth, we are searching for the right individuals to join our team!

We are looking for individuals with a strong desire to embrace and represent our unique culture founded on our Core Values of Integrity, Initiative, Good Judgment and Teamwork and our passion for changing lives through leadership development.

AmeriBen is a leader in the benefits administration industry with a strong track record for consistent double-digit growth (doubling every five years for the past 30 years). We are experiencing wonderful nationwide growth and need effective, dynamic leaders with good values to help us continue this momentum.

There's an energy and excitement here, an opportunity to work with a diverse culture while sharing a goal to improve the lives of others, as well as our own. The result is a culture of performance that's driving the health care industry forward.

If you are an RN with a passion for helping people succeed in managing their health, our position may be for you. The AmeriBen Medical Management team provides utilization management, case and health management services to thousands of members navigating the complex world of healthcare. You have the chance to change lives with the benefits of a salaried position combined with a work-life balance!

Job Summary

The Health Management RN will assess and engage members for health management, maternal health and wellness program(s). This includes planning, coordinating, implementing, monitoring and evaluating the medical services required to meet the complex health needs of members enrolled in the AmeriBen Medical Management program in order to maximize each member's capacity for self-care, to cost-effectively achieve desired clinical outcomes, and to enhance quality of medical care.

Key Result Areas

  • Establish contact and rapport with patients and family members.

  • Assess the patient's current status, prognosis, future care needs, treatment plan and alternative treatment plans.

  • Coordinate care with Case Management and Utilization Management staff.

  • Coordinate interventions with the members' physicians.

  • Develop and implement individualized member care plans.

  • Evaluate effectiveness of care plan and progress made by member.

  • Document findings and appropriate cost effective recommendations.

  • Capture and record any cost savings.

  • Act as a liaison between referral source, physician and member.

  • Maintain confidentiality of records and information.

  • Maintain and report applicable statistics regarding programs and patient services.

  • Document ongoing education and engagement.

  • Attend weekly on-site team meetings and monthly staff meetings.

  • Perform all duties within the scope of her/his licensure.

Experience and Skills:

Minimum Qualifications

  • Current unrestricted RN license

  • Associates Degree in Nursing (Bachelor Degree is a plus)

  • Clinical experience in Disease Management, Wellness Coaching, and/or Maternal Health preferred.

  • Varied clinical experience, as well as a general understanding of clinical program design, implementation and management/monitoring to support choice in consumer medical care.

  • Knowledge of medical/health insurance terminology, ICD-9/ICD-10, HIPAA and DOL regulations.

  • Type 45 words per minute and intermediate level experience in Microsoft Word, Excel and Power Point.

  • Experience using a video-conferencing system.

  • Strong interpersonal relationship skills and the ability to work effectively with a diverse patient population.

  • Ability to communicate effectively, both verbally and in writing, medical information to health care professionals, employer groups, Brokers, stop loss personnel, internal customers, members and families.

  • Ability to work independently under general instruction and with a team.

  • Time management, organizational, research, analytical, and documentation skills.

  • Ability to work efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines.

  • Ability to efficiently and effectively perform the essential Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self.

  • Protect and enhance the Core Purpose and the Core Values of the AmeriBen/IEC Group.