Disease Manager (Chronic Condition Case Manager) RN

MedWatch, LLC; Lake Mary (FL); Remote; USD 62,000 - 74,000; Full time

Job summary

A leading healthcare company is seeking a Disease Manager (Chronic Condition Case Manager) RN to oversee patient caseloads and ensure effective management of chronic conditions. This remote role requires strong communication and organizational skills, along with a valid RN license. The position offers a competitive salary range and the opportunity to contribute to patient education and resource management.

Qualifications

• Minimum of three years clinical experience, including chronic disease management.
• Registered Nurse (current, unrestricted) in the state of practice.

Responsibilities

• Manage individual caseload using chronic condition management.
• Educate patients on goals and document actions.
• Collaborate with providers to ensure access to resources.

Skills

Organizational Skills

Communication Skills

Problem-Solving Skills

Computer Literacy

Education

Registered Nurse License

Tools

Microsoft Office

Job description

Disease Manager (Chronic Condition Case Manager) RN

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Scope: The Disease Manager (Chronic Condition Case Manager) will have direct responsibility for managing an individual caseload using Disease, Complex, and Chronic Condition Management and Population Health Management constructs. This individual is expected to service and satisfy customers by responding to inquiries and communicating benefit and healthcare questions/answers. This is a remote position.

Education:

• Minimum of three years of clinical experience, including at least two years of chronic disease management and patient teaching preferred.

Licensure/Certification Requirements:

• Registered Nurse (current, unrestricted, in the state of practice)

Experience:

• Minimum of three years of clinical experience, including at least two years of chronic disease management and patient teaching preferred.

Skills and Requirements:

• Good keyboarding skills and computer literacy, preferably with Microsoft Office and internet proficiency.
• Fluent in English.
• Strong organizational and time management skills.
• Excellent verbal and written communication skills.
• Ability to handle difficult situations tactfully and diplomatically.
• Effective problem-solving and decision-making skills.
• Proficiency in MS Office Suite (Word, Excel, PowerPoint).

Duties and Responsibilities:

• Practice within the scope of licensure; fluent English reading and writing skills.
• Collect and document patient information for initial assessment and care planning.
• Gather, update, and review medical records, history, and assessment data.
• Guide and educate patients regarding short- and long-term goals; document all actions and interventions.
• Collaborate with providers, payers, and participants to ensure access to resources.
• Contact payers to verify benefits and constraints affecting care plans.
• Verify medical necessity of care or products with providers and vendors.
• Arrange for quality care based on patient needs, physician orders, and benefits.
• Maintain current knowledge of treatment options and provide cost-benefit analyses for alternative treatments when benefits are unavailable.
• Identify community resources or funding sources to support quality care and cost savings.
• Maintain thorough documentation in the computer system.
• For fee-for-service clients: prepare reports, maintain billing, and adhere to production goals.
• Maintain ongoing contact with providers and participants to meet needs.
• Negotiate with providers to maximize benefits and make network referrals as needed.
• Address non-medical issues affecting safety or welfare, and notify authorities if necessary.
• Consult regularly with the Director of Population Health Management and report issues or complaints.
• Use organizational skills to manage time and resources efficiently.
• Communicate effectively in writing and verbally, using appropriate educational strategies and listening techniques.
• Seek personal growth opportunities and stay updated on health topics and treatment options.
• Maintain professionalism, courtesy, and discretion; adapt to changing responsibilities.
• Follow all policies and participate in health fairs and support groups as needed.
• Contribute to quality management initiatives and be adaptable to additional duties.

The salary range for this position is $62,000 to $74,000 annually.

Work Environment / Physical Demands: Office/home office environment; prolonged sitting, manual dexterity for office equipment use.

Equal Opportunity Employer including Disability/Veterans.