Nurse Disease Management I

Elevance Health•Ashburn, VA

4d•Remote

About The Position

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. This is a telephone-based position, and the selected candidate must be comfortable and willing to fulfill the requirements associated with frequent phone communication.

Requirements

Requires AS in nursing and minimum of 2 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.

Nice To Haves

BS in nursing preferred.
Prior case management experience preferred.
Experience documenting electronic medical records preferred.

Responsibilities

Utilize an auto dialer system to contact existing and potential customers.
Achieve and exceed productivity targets while ensuring high-quality interactions.
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 as needed.
Directs members to facilities, community agencies and appropriate provider/network.
Refers member to catastrophic case management.