RN - Condition Management Coordinator(
# Job Number:
14024131)
## Primary Location
United States-Wisconsin-Franklin
##
Description
Xerox is the world''s leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, including data processing, healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Xerox supplies for graphic communication and office printing environments of any size. Xerox serves clients in more than 160 countries. For more information, visit www.xerox.com, www.news.xerox.com, www.realbusiness.com or www.xerox.com/businessservices.
If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
**SUMMARY OF THE POSITION: **
Performs Condition Management services which includes educating members on self-management of a chronic condition in order to facilitate the best health possible
**ESSENTIAL DUTIES & RESPONSIBILITIES:**
ü Establishes and maintains effective working relationships with patients and their families, providers and payers.
ü Maintains confidentiality of received, provided, or processed information. Signs and adheres to the Xerox Confidentiality Agreement.
ü Identifies cases for condition management from information collected from patients, providers, and caregivers. Conducts a thorough assessment, develops and implements a condition management plan, including goals.
ü Manages case to conclusion, while maintaining contact with all individuals involved. Makes modifications as appropriate. Ensures that the goals identified in the condition management plan are met.
ü Uses established evidenced-based guidelines to evaluate treatment plans. Refers cases that do not meet evidence-based guidelines to the Medical Director.
ü Educate and assist patients in understanding and self-manage their chronic conditions within current medical practice.
ü Refers patients to appropriate resources to allow for positive outcomes relating to their chronic illness.
ü Identifies potential cost savings within a health plan’s coverage. Acts upon cost savings in instances when services would not be sacrificed by doing so.
ü Acts as primary contact with designated patients and providers.
ü Participates in quality improvement strategies by assessing individual and employer satisfaction with programs.
ü Participates in continuing education (internal and external providers) in order to maintain active case management certification, clinical and condition management expertise.
ü Participates in professional nursing organizations.
ü Assists in the implementation and adherence to policies, procedures, and new programs related to care management and quality improvement.
ü Obtains/maintains knowledge of Federal, State, and local funding and community resources available to patients and their families.
ü Performs all job duties and responsibilities within the scope of State & Federal laws, licensure/certification as well as within the ethics described in the CMSA’s Standards of Practice.
ü Adheres to URAC standards for programs the Company’s current accreditations.
ü Ability to read and interpret Summary Plan Documents relating to services requested.
ü Other duties and responsibilities as directed by supervisor.
**EXPERIENCE/ABILITY REQUIRED:**
ü Minimum of 3 years nursing experience in an acute care or relevant setting.
ü Proficiency in basic computer skills including Microsoft Windows and Works (others as identified by supervisor), and the ability to access and navigate the Internet to conduct research.
ü Effective communication skills—verbal, written, interpersonal, and phone, in order to interact with internal departments and external contacts.
ü Accurate spelling, grammar, and documentation preparation skills.
ü Ability to attend to numerous details under the stress of maintaining courteous, accurate and timely relations with a variety of individuals.
ü Ability to work independently, with minimal supervision.
**EDUCATION/LICENSURE/CERTIFICATION: **
ü Registered Nurse with active and unrestricted license to practice in the State of Wisconsin.
ü Certified Chronic Care Professional (CCP) (designation as soon as eligible to take the exam if not already upon hiring).
*Xerox Business Services, LLC is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by Federal or State law or local ordinance. People with disabilities who need a reasonable accommodation to apply or compete for employment with Xerox Business Services, LLC may request such accommodation(s) by sending an e-mail to *accommodations@xerox.com_._
Virtual/work from home? Yes
*Primary Location:* United States-Wisconsin-Franklin
*Virtual/work from home?:* Yes
*Req ID:* 14024131