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Elevance Health

Sells health insurance and pharmacy benefits

Telephonic Nurse Disease Management 2

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeRemote

About the Job

Requirements

  • An 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.
  • A current unrestricted registered nurse license in applicable state(s) is required.

Responsibilities

  • Conduct behavioral or clinical assessments to identify members’ knowledge, skills, and behavioral needs, and identify or coordinate health coaching plans to address assessment goals.
  • 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 intervention and health coaching plan effectiveness, and modify 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.

Desired Qualifications

  • A Bachelor of Science in nursing is preferred.
  • Prior case management experience is preferred.

About the Company

Elevance Health

Sells health insurance and pharmacy benefits

Elevance Health is one of the largest U.S. health insurers, covering people through employers, individual plans, Medicare and Medicaid. It is the Blue Cross Blue Shield licensee in 14 states, where it sells plans under the Anthem name, and it runs government plans under the Wellpoint name in other markets. Its Carelon division runs the CarelonRx pharmacy benefit manager and sells behavioral health, care management and other services to its own plans and outside clients. Elevance earns most of its revenue from premiums paid by employers, members and government programs, plus fees for Carelon services. The company is headquartered in Indianapolis, Indiana.

Company size
10,001+
Company stage
IPO
Headquarters
Indianapolis, IN
Founded
1944

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