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Disease Management Program (DMP) Educator in Rhode Island at Prospect Medical Systems

Date Posted: 6/24/2018

Job Snapshot

Job Description



Disease Management Program (DMP) Educator

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

This position has accountability for the direct provision of member education, skill development, and ongoing support for members identified to participate in PMS's disease management programs (DMPs). The DMP educator reviews all member information available in care management and authorization databases and completes all relevant DMP assessments in the case management platform —accessible to the member's care team. The DMP educator participates in interdisciplinary care team meetings as appropriate and provides progress to DMP goal information on an ongoing basis to the care team. The DMP educator interfaces with the member's case manager and providers as required by protocols and appropriate to care planning and care outcomes. Feedback is provided to the clinical development team on an ongoing basis and as requested to facilitate program improvement.



Job Responsibilities/Duties

 Conducts telephonically the appropriate DMP assessment(s) and documents according to approved protocols in the care management platform.

Assesses the following: disease condition or need; medication adherence; quality of life; and depression and other behavioral health screening assessments.

Develops a DMP action plan consisting of member-negotiated goals that support the DMP assessments and the Interdisciplinary Care Plan for the member.

Schedules and implements telephonically self-management education, skills development, and problem-solving enhancement for members with specified chronic conditions (Heart Failure; COPD; CKD; Fall Prevention; and Diabetes). Once a member attains DMP goals, the DMP educator provides ongoing support to facilitate motivation and encouragement to sustain new behaviors.

Employs best-practice education and counseling approaches with members (Motivational Interviewing; Health Belief Model; Stages of Change; Social Learning Theory; etc.)

Participates in the Interdisciplinary Care Team meetings as appropriate and shares pertinent DMP member information with care team as needed.

Messages the member's assigned case manager when the DMP goals have been developed and/or achieved.

Facilitates the transition of members with severe symptoms and/or perceived de-compensation to a clinician for further evaluation and potential intervention. During all work with the member, the DMP educator facilitates 'warm transfers' to case management and/or clinician as appropriate.

Facilitates care coordination to ensure members have the medical care and resources needed for chronic condition(s).



Qualifications

Minimum Education: Bachelor's degree in Nursing, Health Science or other related field desired. ​If non-clinical, Master's degree in Health Education, Public Health, Social Work or other related field is required.

Minimum Experience: One (1) year of disease management or health coaching experience, preferably in a managed care environment

Req. Certification/Licensure: CCP, CDE, AE-C, CHES and/or MCHES preferred.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm

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