Nurse Disease Management II

Elevance Health • Atlanta, MO

3d • Remote

About The Position

The Nurse Disease Management II participates in and delivers complex patient education and disease management interventions, and provides health coaching to members across multiple lines of business for chronic disease health improvement and management programs. The role conducts behavioral or clinical assessments, develops and coordinates individualized coaching plans, works with providers and other health professionals, and monitors intervention effectiveness. This position also serves as a resource to lower-level disease management associates and refers members to catastrophic case management when appropriate.

The role is primarily virtual, with required in-person training sessions. Candidates must reside within a reasonable commuting distance of a posting location unless an accommodation is granted. Work hours are Monday through Friday, 2:30 p.m. to 11:00 p.m. Eastern Time.

Requirements

• Associate degree in nursing and at least 3 years of condition-specific clinical experience 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.
• Health coaching experience.

Responsibilities

• Conduct behavioral or clinical assessments to identify members’ knowledge, skills, and behavioral needs.
• Identify or coordinate health coaching plans to address goals and objectives established during assessments.
• Interface with providers and other health professionals to coordinate members’ health coaching plans.
• 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 the effectiveness of interventions and health coaching plans, modifying plans 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.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs, unless covered by a collective bargaining agreement
• Medical insurance
• Dental insurance
• Vision insurance
• Short- and long-term disability benefits
• 401(k) with match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree