Nurse Disease Management II

Elevance Health•Tampa, FL

5d•Remote

About The Position

The Telephonic Nurse Disease Management II participates in and delivers more complex patient education and disease management interventions. This role provides health coaching to members across multiple lines for chronic disease health improvement and management programs. It conducts behavioral or clinical assessments to identify members’ knowledge, skills, and behavioral needs, then identifies or coordinates health coaching plans to address the goals and objectives found during assessments. The nurse coordinates with providers and other health professionals, educates members about clinical needs, facilitates referrals for behavioral health needs, and uses motivational interviewing to support health behavior change. The role monitors and evaluates intervention effectiveness and modifies health coaching plans as needed. It also directs members to appropriate facilities, community agencies, and provider networks, serves as a resource to lower-level disease management associates, and refers members to catastrophic case management when appropriate. This is a primarily virtual role, with required in-person training sessions. Alternate locations may be considered for candidates within commuting distance of an office; candidates outside a reasonable commuting distance will not be considered unless an accommodation is granted. The schedule is Monday through Friday, 2:30–11:00 p.m. EST. A $2,000 sign-on bonus is listed.

Requirements

Associate degree in nursing and at least 3 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 addressing objectives and goals found during assessments.
Coordinate 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 health professionals for behavioral health needs.
Use motivational interviewing to facilitate health behavior change.
Monitor and evaluate the effectiveness of interventions and health coaching plans, modifying 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.