Remote RN Disease Manager for TRICARE Beneficiaries

TriWest Healthcare Alliance Corp.; Phoenix (AZ); Remoto; USD 84.000 - 94.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, Dental and Vision Coverage

Paid time off

401(k) Retirement Savings Plan

Short-term and long-term disability

Descrizione del lavoro

TriWest Healthcare Alliance seeks a Disease Management (DM) Nurse to provide proactive health coaching to TRICARE beneficiaries. The DM nurse will collaborate with the care team to assess needs, create care plans, and empower patients to manage chronic conditions effectively.

Requirements include active RN licensure, US citizenship, and ability to obtain a DoD background investigation. The role supports multi-state licensure and offers diverse work settings, including remote options in eligible

Competenze

• Current, unrestricted RN licensure to independently work within state of residence
• U.S. Citizenship required
• Must be able to obtain favorable DoD background investigation
• Multi-state licensure eligibility if resident in a NCL state
• Minimum of three years clinical experience
• Experience in case management, care coordination or discharge planning in health care settings

Mansioni

• Assess beneficiaries to identify medical, physical, and psychosocial needs to support goals of care.
• Ensure and evaluate clinical appropriateness of care plans against guidelines and best practices.
• Provide education and coaching to prevent exacerbations of chronic conditions.
• Manage activities to ensure appropriate utilization and access to resources.
• Identify health disparities via SDOH assessment and coordinate resources.
• Develop measurable outcomes to monitor program impact on health status.
• Coordinate beneficiary transfers across regions with military liaison support.
• Adhere to URAC standards, TRICARE policy, contractual requirements, and HIPAA privacy rules.

Conoscenze

Communication/People Skills

Coping/Flexibility

Empathy/Customer Service

Independent Thinking/Self-Initiative

Multi-Tasking/Time Management

Organizational Skills

Problem Solving/Analysis

Team-Building/Team Player

Technical Skills (TRICARE/URAC)

Formazione

RN Licensure (active)

U.S. Citizenship

Bachelor’s degree preferred

Strumenti

Microsoft Office Suite

TriWest Intranet

Health care information systems

Descrizione del lavoro

TriWest Healthcare Alliance seeks a Disease Management (DM) Nurse to provide proactive health coaching to TRICARE beneficiaries. The DM nurse will collaborate with the care team to assess needs, create care plans, and empower patients to manage chronic conditions effectively.

Requirements include active RN licensure, US citizenship, and ability to obtain a DoD background investigation. The role supports multi-state licensure and offers diverse work settings, including remote options in eligible