Quad/Graphics Case/ Disease Management Nurse in Sussex, Wisconsin

A leading global provider of print and media solutions, Quad/Graphics is powered by a passion for innovation and the most advanced platform in the industry. Our collaborative team of “can-do” people continually challenge the status quo, creating groundbreaking solutions that push the boundaries of communications.

Quad/Graphics is seeking a highly skilled and passionate individual to join our Patient Advocacy team as a Case/Disease Management Nurse who will offer services to our employees and their families that have acute and complex health care needs as well as to members with chronic conditions at risk for poor health outcomes.

Patient Advocacy Nurses provide care management services through telephonic contact with patients/family, key medical providers, insurance vendors, ancillary service providers, other departments in the company and appropriate community resources. This role is a hybrid - it requires case management skills to coordinate services, manage care transitions, navigate insurance/benefits and streamline complex care while maintaining a disease management focus, providing education and support regarding chronic disease self-management and preventative health maintenance. The ideal applicant must have not only the case and disease management knowledge but also the patience and desire to support our members and the creativity to help grow the Patient Advocacy program.

Responsibilities:

  • Identifyat-risk and high-risk members from claims data who would benefit fromoutreach which requires working withvariety of patient ages and conditions/diagnosis

  • Utilize goal-setting and motivational interviewing to assess patientneeds, then educate and empower members to manage theirdisease(s), using accepted standards of care as a guide

  • Collaborate with thepatient/family and inter-professional team to ensure theyunderstand our health care benefits as defined by the Plan and how to maximizethese benefits to get the best care possible; assistin problem solving with provider, claims or service issues

  • Function independently, prioritize workload, organize workflow, andmanage multiple responsibilities with little supervision

  • Understand key business drivers and usethis understanding to maximize the impact patient advocacy has on ourmembers and prove return on investment

  • Provide recommendations and assist in thedevelopment of program goals and objectives for the future

Qualifications

  • HighSchool Diploma/GED required

  • Graduate from an accredited nursing program ADN required (BSNpreferred)

  • 5 years of experience as an RN required

  • Current and valid license in the state of Wisconsin or another compactstate license required

  • Disease Management experience required

  • Case Management experience (preferred)

  • Coaching/motivational interviewing experience preferred

  • Previous experience with data collection techniques and methods ofanalyzing and reporting data preferred

  • Exposure to/experience with project management a plus

  • Knowledge of Microsoft Office, including Word, Excel, Outlook, andPowerPoint required

AdditionalCompany Information

We offer excellent benefits to eligible employees, including 401(k), holidays, vacations and more.

Quad/Graphics is an equal employment opportunity employer. The Company’s policy is not to unlawfully discriminate against any applicant or employee on the basis of race, color, sex, sexual orientation, gender identity, religion, national origin, age, military or veteran status, disability, genetic information or any other consideration made unlawful by applicable federal, state, or local laws. The Company also prohibits harassment of applicants and employees based on any of these protected categories.

Drug Free Workplace