Nurse Disease Mangement I
About The Position
Telephonic Nurse Disease Management I responsible for participating in delivery of patient education and disease management interventions and for performing 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 as needed. Directs members to facilities, community agencies and appropriate provider/network. Refers member to catastrophic case management.
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.
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 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.
Benefits
- Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
