Disease Management Coordinator

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Collaborates with patients and primary care providers to ensure patients receive quality, efficient, and cost-effective healthcare services • Coordinates, monitors, and evaluates all options and services to optimize a patient’s health status • Identifies the targeted population and risk stratifies all patients to prioritize needs and direct interventions • Communicates and collaborates with inpatient and outpatient case management to implement the discharge plan and coordinate a safe transition to the next level of care • Works in collaboration with physicians/providers, patients, and their families to ensure safe and efficient transitions of care • Works collaboratively with patients to design an individualized plan of care that ensures coordination of services by the healthcare team • Collaborates with available social services for appropriate resource and financial management • Coordinates/facilitates patient progression throughout the continuum, Transitional Planning, Advocacy and Education • Clinical performance improvement, outcome management and quality activities • Uses data to drive decisions and plan/implement performance improvement strategies for assigned patients • Implements clinical interventions based on risk stratification and evidence-based clinical guideline adherence • Coordinates appropriate laboratory and diagnostic testing • Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population • Participates in development, implementation, evaluation and revision of clinical pathways and other tools • Educates the multidisciplinary team and physicians about clinical pathways/protocols and managed care principles • Monitors clinical and financial indicators on an ongoing basis and takes action to achieve continuous improvement in both areas

🎯 Requirements

• Associate’s Degree in Nursing AND Seven (7) years clinical experience in a healthcare setting OR Bachelor’s Degree in Nursing AND Five (5) years clinical experience in a healthcare setting • Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC) • State criminal background check and Federal (if applicable), as required for regulated areas • Obtain certification in Basic Life Support within 30 days of hire date • Prior care coordination experience

🏖️ Benefits

• Not specified