Supv Disease Management
HealthNow New York Inc. - Buffalo, NY

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Position Summary: To supervise and assist the disease managers in various aspects of the Disease Management process and programs.

Primary Job Duties:
  • Responsible for the oversight of daily staffing assignments, assisting staff with performing all Disease management functions.
  • Researches and resolves issues regarding policy, programs and contract provisions and guides staff in appropriate and timely resolution of issues.
  • Demonstrates a thorough understanding and applies principals of the disease management process.
  • Demonstrates understanding of and complies with NCQA standards, DOH,URAC and DOL regulations and Healthcare Services initiatives and goals.
  • Identifies areas for quality improvement and cost savings.
  • Collaborates with management to develop workflows, processes to improve efficiencies.
  • Ability to work both as a team member and independently demonstrating sound problem solving techniques.
  • Performs other related duties as required.
Required Skills Primary Skills/Knowledge:
  • Excellent time management skills
  • Excellent verbal and written communication skills
  • Ability to work effectively with minor supervision
  • Must be able to work in a fast paced environment with daily work processing deadlines
  • High energy level and ability to project enthusiasm
  • Persuasive communication style
  • Polished professional image and reputation
  • Knowledge of disease management, managed care, health insurance industry, provider community a plus
  • Demonstrated customer service orientation
  • Demonstrated personal accountability
  • Knowledge of MS Word, MS Excel, MS Access and Internet
Required Experience Preferred Education: Associates Degree (N/A)

Preferred Experience: Three years clinical experience, two of which should be in the hospital setting/office practice setting. Previous supervisory experience preferred.

Alternate Education: Bachelors Degree (N/A)

Alternate Experience: Telephone triage experience, coaching/ patient teaching preferred. Previous supervisory experience preferred.

Working Conditions: Required Licenses/Certifications:
  • Registered Nurse

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HealthNow New York Inc. is one of New York’s leading health care companies that provide access to quality health care and innovative...