Job description

Seeking a Nurse Consultant to join Axiom Resource Management in support of the TRICARE Health Plan (THP) in the Defense Health Agency (DHA).

Successful Candidate will:

• Provide expertise by monitoring all aspects of Disease Management (DM) performance for care delivered primarily for the managed care support contractors (MCSCs) to include the six designated providers (DPs). Conduct overarching planning to support operations and TRICARE policy implementation.

• Work to ensure that the Department of Defense beneficiaries receive timely, appropriate in both scope and level, cost effective, quality, sensitive and coordinated care to affect desired clinical outcomes utilizing the major components of Population Health and DM.

• Participate in Population Based Health Care Management Services, applying and promoting DM and wellness/prevention concepts and strategies to the Primary Care assigned patients and those identified for DM.

• Conduct reviews and evaluate conflicts and programmatic issues to aid in resolving issues and to improve patient access, efficiency, and effectiveness of regional care.

• Liaison between the MCSCs and the direct care system (MTFs), you will be responsible for ensuring that DM activities are carried out in a way that enhances the services and quality of care to TRICARE beneficiaries.

• Participate and advise in the development of recommendations for DM regulations, guidelines, and procedures relating to program and business operations. Assist TRICARE in its efforts to improve patient outcomes and the efficiency and effectiveness of DM programs.

Desired or Preferred Requirements:

• Bachelor’s Degree in nursing is required, Master’s Degree in nursing is strongly preferred

• Registered Nurse or Nurse Practitioner license

• Minimum 10 years nursing experience

• Population Health and Disease Management experience is strongly desired

• Working knowledge of TRICARE policies and procedures is strongly desired

• Excellent written and verbal communication skills

• Able to work independently, in teams and manage time effectively

• Strong analytical abilities

• Specialized expertise analyzing, evaluating, developing, or implementing policies pertaining to Disease Management

Equal Opportunity Employer – Disability and Veteran

Job Type: Full-time

Pay: $80,000.00 - $110,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: Remote

learninglandscape.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, learninglandscape.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, learninglandscape.com is the ideal place to find your next job.