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Disease Case Manager:
Provides intensive, comprehensive case management in a multidisciplinary medical environment, using in-depth clinical knowledge of disease conditions and pharmacological agents, and increases efficient utilization of services for members with a specific diagnosis. Identifies, educates, assists, and manages the health plan...
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Disease Case Manager:
Provides intensive, comprehensive case management in a multidisciplinary medical environment, using in-depth clinical knowledge of disease conditions and pharmacological agents, and increases efficient utilization of services for members with a specific diagnosis. Identifies, educates, assists, and manages the health plan patient of various client groups including commercial accounts, Medicare, and Medicaid participants. Develops, implements, and maintains a disease management program for enrollees with a specific diagnosis to include asthma, diabetes, sickle cell, HIV, and high-risk maternity. Typically requires licensure as a Registered Nurse or Registered Respiratory Therapist (depending upon targeted area of assignment) with a minimum of three years of clinical experience working with individuals in ambulatory, acute, or home care settings.
Clinically assesses, identifies, coordinates, educates, and manages members with various disease states while working cooperatively and effectively with the preferred care delivery system to assure high quality, cost effective care for members. Identifies, educates, assists, and manages the health plan patient to promote the best quality of life for the enrollee and control costs associated with healthcare delivery. Develops and implements services that support the disease management program. Performs in-depth screening of enrollees for disease and/or case management eligibility, using predetermined criteria as outlined in the disease case management program. Designs an individual treatment plan in conjunction with Physician for overall care of enrollees. Monitors enrollee's condition on an ongoing basis by means of regular telephone calls and on-site visits. Follows up with inpatients during and after hospitalization. Evaluates enrollee's response to treatment and updates treatment plans as necessary. Maintains ongoing communication with Physician and health plan providers regarding enrollee's condition and response to care. (Source: eDOT Job Description)
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A renter's cost of living for someone making $51,559 in New York-Manhattan, New York is 126.1% of the US National Average. For more information, or to compare cost of living data between two cities,
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