ESSENTIAL POSITION FUNCTIONS

• Makes outbound calls to members in a disease management program to provide support, education and assistance as the member moves within the health care system
• Plans, implements, monitors, and evaluates health education programs
• Ensures member is receiving appropriate follow up and treatment, making lifestyle changes, and using self-management resources to avoid serious complications
• Collects and analyze data to learn about the effectiveness of the disease management program
• Advocate on behalf of the member regarding accessibility of services, assessing and interpreting member needs
• Relates effectively with co-workers regarding continuity of care and Care Management of members
• Maintains a professional approach with the highest standard of confidentiality
• Displays concern and initiative;
• Cooperates and maintains good rapport with staff, other departments, members, providers, and agencies involved in providing quality care to the member
• Work collaboratively with the Quality Department and CMO to provide feedback and improve outcomes related to HEDIS, Performance Improvement Projects (PIPs) and NCQA projects.

MINIMUM REQUIREMENTS OF THE POSITION

• Associate degree required in relevant field
• 2-4 years of experience in Nursing, Disease Management, or Health Coaching. A Bachelor’s degree is preferred, but not required.
• Advanced ability to plan, implement, monitor, and evaluate health education programs.
• Exceptional ability to achieve sustainable health education program results.
• Excellent communication and customer service skills.
• Proficient in the use of Microsoft Office Suite.
  Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes).
  The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.
  This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: resumes@group-health.com. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer

With minimal supervision, assists to coordinate resources and educate the members that are enrolled in a disease management program. Relates effectively with others for continuity of care; maintains satisfactory relations with others, maintains accurate and complete records.