Nurse Disease Management II

Elevance Health•St. Louis, MO

4d•$79,464 - $124,872•Remote

About The Position

The Telephonic Nurse Disease Management II participates in and delivers complex patient education and disease management interventions. The role provides health coaching to members across multiple lines of business for chronic disease health improvement and management programs. This position is virtually full-time, with required in-person training sessions; candidates must be within a reasonable commuting distance of a posting location unless an accommodation is granted. The schedule is Monday through Friday, 2:30–11:00 p.m. Eastern Time. The Federal Employee Program (FEP) provides health benefits to federal employees, retirees, and their families, with nationwide coverage and access to a broad provider network focused on quality, affordable care. This role supports members through clinical and behavioral assessments, individualized coaching plans, provider coordination, and referrals. It also serves as a resource to lower-level disease management associates. The position requires an associate degree in nursing and at least three years of condition-specific clinical or home health/discharge planning experience, or an equivalent combination of education and experience. A current unrestricted RN license in applicable states is required. A BS in nursing and prior case management experience are preferred. For candidates working in Nevada or Colorado, the stated salary range is $79,464 to $124,872. Elevance Health also lists a $2,000 sign-on bonus, subject to applicable terms, and offers a benefits package that may include incentive programs, equity stock purchase, and 401(k) contributions, subject to eligibility requirements.

Requirements

Associate degree in nursing and at least three years of condition-specific clinical or home health/discharge planning experience, or an equivalent combination of education and experience.
Current unrestricted RN license in applicable state(s).

Nice To Haves

Bachelor of Science in Nursing.
Prior case management experience.

Responsibilities

Conduct behavioral or clinical assessments to identify members’ knowledge, skills, and behavioral needs.
Identify or coordinate health coaching plans to address objectives and goals established during assessments.
Coordinate members’ health coaching plans with providers and other health professionals.
Implement or coordinate coaching and care plans by educating members about clinical needs and facilitating referrals to behavioral health professionals.
Use motivational interviewing to facilitate health behavior change.
Monitor and evaluate interventions and health coaching plans, and modify them as needed.
Direct members to facilities, community agencies, and appropriate providers or networks.
Serve as a resource to lower-level disease management associates.
Refer members to catastrophic case management when appropriate.