Nurse Disease Management I

Nurse Disease Management I Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to‑face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday to Friday, 8:30AM to 5:30PM local time. No weekends or holidays required. How you will make an impact Utilize an auto dialer system to contact existing and potential customers. Achieve and exceed productivity targets while ensuring high-quality interactions. 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 provider and other health professionals to coordinate health coaching plan for the member. 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 effectiveness of interventions and/or health coaching plans and modify as needed. Direct members to facilities, community agencies and appropriate provider/network. Refer member to catastrophic case management. Minimum 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. Preferred Skills, Capabilities, and Experiences BS in nursing preferred. Prior case management experience preferred. Experience documenting electronic medical records preferred. Vaccination Requirement: Must be vaccinated against COVID-19 and Influenza. If not vaccinated, the offer will be rescinded unless an acceptable explanation is provided. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact View email address on click.appcast.io for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration ( #J-18808-Ljbffr