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Elevance Health

Sells health insurance and pharmacy benefits

Transitions of Care RN

Medical, Clinical & VeterinaryPosted on Nov 10
Full-timeGrand Prairie, TX, USANo salary listed

About the Job

Requirements

  • An associate degree in nursing and at least 2 years of condition-specific clinical experience or home health/discharge planning experience are required, 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 individual member knowledge, skills, and behavioral needs.
  • Identify and/or coordinate specific health coaching plan needs to address objectives and goals identified during assessments.
  • Interface with providers and other health professionals to coordinate health coaching plans for members.
  • Implement and/or coordinate coaching and/or care plans by educating members regarding 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/or health coaching plans and modify them as needed.
  • Direct members to facilities, community agencies, and appropriate providers or networks.
  • Refer members to catastrophic case management.

Desired Qualifications

  • An RN compact license is highly preferred.
  • A bachelor's degree in nursing is preferred.
  • Prior case management experience is preferred.
  • Bilingual Spanish is highly preferred.
  • Experience working with members who have chronic diseases is highly preferred.
  • Experience working in home health 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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