Nurse-Disease Management (J&J Unit) Maternity/High Risk OB

Overview
SHPS is dedicated to driving, innovating and delivering consumerism for our clients, partners and participants. Our broad range of clinical, financial and benefit solutions enable and encourage wise consumerism, promote better health, lower healthcare costs, and maximize the quality and value of today’s health care.

Job Skills/Requirements
As a nurse within our Scottsdale based, Health Management Solutions Division, you will work in an environment that promotes quality patient care. You will also work in an environment that promotes work and life balance through active initiatives like telecommuting.

As an RN Disease Manager you will use our computer and telephone systems to provide patient assessment and education for disease management and case management diagnosis. You will work closely with our patient/members to provide telephone based care in a way that effects behavior changes and positively impacts the patients life.

Primary responsibility includes assessment and education for disease management/case management diagnosis with an emphasis in high-risk OB & Maternity. Other diseases you will work with are diabetes, cardiovascular, respiratory, and any other potential disease management or case management diagnosis including management of N.I.C.U. babies. Responsible for the delivery, over the telephone, of the Utilization Management process to include: making clinical recommendations regarding medical necessity for admission, continued stay and the development/implementation of a comprehensive case management treatment plan.

Current unrestricted Registered Nurse license in Arizona required. Bachelor's degree in nursing preferred.
Prior case management is preferred, but not necessary.
Bilingual (English-Spanish) preferred.
Appropriate and relevant clinical experience in the past 5 years.
Management Specialist (CDMS) or Case Management Association (CCM) is desired.





Requirements
Certification Requirements
 â€“ Active AZ RN License

Education Requirements
 â€“ Associate's degree minimum required

Additional Information/Benefits
This position prefers a bilingual/Spanish speaking nurse.

Benefits: Medical Insurance, Life Insurance, Dental Insurance, Vision Insurance, Paid Vacation, Paid Sick Days, Paid Holidays, Short Term Disability, Long Term Disability, 401K/403b Plan, Educational Assistance

Screening Requirements: Drug Screen, Criminal Background Check