Nurse Disease Management II

Elevance Health; Indianapolis (IN); Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare company is seeking a Telephonic Nurse Disease Management II to provide patient education and health coaching for chronic diseases. This role allows for virtual work with required in-person training. Candidates should have an AS in nursing and a current RN license. Preferred skills include case management experience and knowledge of Coronary Artery Disease and COPD.

Qualifications

• Requires AS in nursing and minimum of 3 years of condition specific clinical or home health/discharge planning experience.
• Current unrestricted RN license in applicable state(s) required. BS in nursing preferred.

Responsibilities

• Conducts behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs.
• Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments.
• Interfaces with provider and other health professionals to coordinate health coaching plan for the member.
• Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs.
• Monitors and evaluates effectiveness of interventions and/or health coaching plans.

Job description

Job Title: Telephonic Nurse Disease Management II

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.

Work Schedule: Monday-Friday, 12:30 - 9 pm EST.

The Telephonic Nurse Disease Management II is responsible for participating in and delivery of more complex patient education and disease management interventions and performs health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases.

How you will make an Impact:

• Conducts behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs.
• Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments.
• Interfaces with provider and other health professionals to coordinate health coaching plan for the member.
• Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs.
• Uses motivational interviewing to facilitate health behavior change.
• Monitors and evaluates effectiveness of interventions and/or health coaching plans and modifies.
• Directs members to facilities, community agencies and appropriate provider/network.
• Serves as a resource to lower-leveled DM associates.
• Refers member to catastrophic case management as appropriate.

Minimum Requirements:

• Requires AS in nursing and minimum of 3 years of condition specific clinical or home health/discharge planning experience; or any combination of education and experience, which would provide an equivalent background.
• Current unrestricted RN license in applicable state(s) required. BS in nursing preferred.

Preferred Skills, Capabilities, and Experiences:

• Must be eligible for a multi-state license.
• BS in nursing preferred.
• Prior case management experience is preferred.
• Prior disease management experience is preferred.
• Experience with Coronary Artery Disease and COPD is a plus.
• Ability to meet necessary internet speed requirements and adhere to work-at-home agreements.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.