Nurse Disease Mgmt II

Telephonic Nurse Disease Management II

The Nurse Disease Management II will be responsible for telephonic outreach, enrollment, and management of Disease Management members.  Provides education and coordination to address gaps in care for multiple managed conditions to ensure cost-effective and efficient utilization of health services. Conducts assessment, planning, implementation, coordination, monitoring, and evaluation of members through telephonic/call center setting. Responsible for participating in and delivery of more complex patient education and disease management interventions and 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 providers and other health professionals to coordinate health coaching plans 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 the effectiveness of interventions and/or health coaching plans and modifies them.

• Directs members to facilities, community agencies, and appropriate providers/networks.

• Refers member to catastrophic case management as appropriate.

• Serves as a resource to lower-leveled DM associates. 

Minimum Qualifications:

• Requires AS in nursing and a minimum of 3 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.

Preferred Skills , Capabilities, and Experiences:

• Must be eligible for a multi-state license.

• BS in nursing preferred.

• Prior case management experience is preferred.

• Prior disease management experience is preferred.

• Experience with Coronary Artery Disease and COPD is a plus.  

• Ability to meet necessary internet speed requirements and adhere to work-at-home agreements.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $73,836 to $110,754.

Location:  Nevada

In addition to your salary, 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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.