Bilingual Internal Wholesaler, Spanish
F&G
Bilingual Disease Management Nurse, RN
Personify Health
full-time
Posted on:
Location: 🇺🇸 United States
Visit company websiteSalary
💰 $31 - $38 per hour
Job Level
Mid-LevelSenior
About the role
- Telephonically coordinate wellness and disease management focused on diabetes, asthma, COPD, CAD, CHF, atrial fibrillation, hypertension, hyperlipidemia.
- Contact targeted members for health promotion and restoration using national care guidelines.
- Use claims processing tools to review and research paid claim data and develop individual care plans.
- Work with patients to ensure they have a primary care provider and assist with referrals and durable medical equipment.
- Evaluate and make referrals for case management, prenatal program or pharmacology review.
- Document interventions and patient contact and maintain privacy of member records.
- Track high-risk member groups and interventions to show health improvement.
- Meet productivity, quality and turnaround time requirements.
Requirements
- Graduation from an accredited RN program and possession of a current United States RN license.
- May require additional licensing as business needs change.
- Prior experience in case management, coordinating wellness programs, or an equivalent combination of education and experience.
- Strong written and verbal communication skills
- Proficient in Microsoft Excel, Word, PowerPoint and Outlook
- Demonstrate ability to work independently with excellent judgment
- Excellent interpersonal and communication skills including able to give presentations to groups and individuals as needed.
- Good time management skills, highly organized.
