Registered Nurse – Disease Management

ERP International•Las Vegas, NV

3d•Onsite

About The Position

ERP International is seeking a full-time Registered Nurse (RN) – Disease Management to support the Population Health Clinic at the Mike O’Callaghan Military Medical Center, Nellis AFB, Las Vegas, NV. This role offers the opportunity to join a team of exceptional healthcare professionals providing care for Military Members, their Families, and Retired Military Veterans. ERP International is recognized as a Top Workplace and offers excellent compensation and comprehensive benefits.

Requirements

BSN Degree from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).
Minimum of five years of experience as a registered nurse.
At least 12 months of experience in disease management within the last 24 months.
Experience in inpatient and outpatient nursing specialties, ambulatory care nursing, prevention, health promotion, disease management, case management, discharge planning, and clinical data analysis.
Current unrestricted RN License from any state.
Current ARC or AHA BLS certification.
Ability to pass a government background check/security clearance.
Computer skills in data management, Microsoft Office Suite: Outlook, Word, Excel (pivot tables), Power Point, Publisher, and Access are required.

Nice To Haves

An advanced degree in a health care discipline is highly desirable.
A masters in community health is desirable.
National certification in a related field (e.g. community health, ambulatory nursing, or occupational health, etc.) is recommended.
Certified Health Coach (CHC) by National Society of Health Coaches.
Certification by a patient education body such as: Certified Diabetes Educator (CDE) by National Certification Board for Diabetes Educators or Certified Asthma Educator (AE-C) by National Asthma Educator Certification Board.
Certification eligible with 2 years for BSN of full-time disease management experience.
Knowledge of managed care principles, military and civilian population healthcare, case management, utilization management, and demand management functions is highly desired.

Responsibilities

Develop innovative treatment programs for high- and low-risk patients across the healthcare continuum appropriate for disease management interventions.
Prioritize patients in the disease management program.
Assess and identify individual patient care needs, providing appropriate care and making independent nursing diagnoses.
Provide health care instructions and/or appropriate referral to a provider or other department.
Perform proactive patient management.
Support the provider/patient relationship and plan of care, emphasizing prevention of exacerbations and complications.
Empower and prepare patients to manage their health and become active participants in meeting their healthcare needs.
Organize internal and community resources to provide ongoing self-management support to patients.
Utilize proven programs to provide health information, emotional support, and strategies for living with chronic illness.
Collaborate with providers and patients to define problems, set priorities, establish goals, create treatment plans, and implement solutions.
Interpret and evaluate data appropriately in collaboration with Health Care Integrator and Group Practice Manager.
Provide highly specialized, comprehensive primary, secondary, and tertiary prevention/intervention nursing services to active duty/reserve/retired military members and their families.
Provide advanced nursing services to patients across the population health continuum.
Assess, plan, develop, coordinate, implement, and evaluate preventive and clinical services for all assigned beneficiaries.
Recognize adverse signs and symptoms and react quickly in emergencies.
Initiate and coordinate referrals to other healthcare providers, services, or agencies.
Collaborate with military, base, community, and civilian agencies, and TRICARE to ensure coordination of services and continuity of care.
Make necessary judgments to safely administer immunizations/medications.
Administer medications and immunizations via multiple routes.
Maintain awareness of unusual dosages of medications/immunizations and report them.
Manage adverse medication/immunization reactions, document, and submit appropriate reports.
Coordinate mail-order prescription requests.
Ensure compliance with professional standards of care and practice.
Prepare health program maintenance, submission of reports, and assist in writing clinic policies and procedures.
Participate in Quality Improvement and Risk Management activities.
Utilize evidence-based research in daily practice.
Apply community and population health management principles and processes.
Identify candidates for disease management using various systems and professional judgment.
Collaborate and coordinate with healthcare professionals/departments to identify members needing additional education or clinical management.
Collaborate with case manager, utilization manager, and Managed Care Support Contractor to identify patients appropriate for each service and assist with outcome tracking.
Work collaboratively with the Referral Management Center.
Work in alliance with the Quality Management Department to deliver "best value" healthcare.
Conduct special studies as indicated by outcome measurements.
Orient healthcare teams to the purpose of disease management activity, population health, clinical preventive services, and medical management.
Provide excellent oral communication skills for patient/family education and telephone triage.
Prescribe and communicate treatment plans and patient teaching in accordance with established clinical protocols.
Collect and assess significant patient history information and perform necessary teaching.
Provide excellent written communication skills for accurate documentation.
Provide OJT and in-service education to staff.
Participate in, complete, and document professional Continuing Nursing Education (CNE).
Participate in evaluation of the quality and effectiveness of activities and services of the unit.
May be required to augment clinical nursing support during absence of primary care team nurses.
Review patient record prior to appointment, including Preventive Health Assessment and Individual Medical Readiness/Personal Health Assessment (PIMR/PHA) deficiency, preventive health needs, completion of referrals, medication refill/renewal requirements, and lab/radiology studies as needed.
Assist providers with patient examinations, therapeutic measures, and procedures, and ensure infection control standards are adhered to.
Accurately perform and evaluate procedures (including medications, immunizations, and intravenous therapy) in accordance with established MTF and local guidelines or policies and evidence-based practices.
Observe patients’ vital signs such as blood pressure, pulse, respirations, temperature, pulse oximetry, weight.
Ensure thorough documentation of nursing care, following MTF policies/instructions.
Complete Disease Management Course, AF Medical Home Course, Access Improvement Seminar and Diabetes Champion Course within one year of hire at contractor’s expense.