Care Management RN - Full-time

Nurse Disease Management II

Telephonic Nurse Disease Management II

Sign-on Bonus: $2000

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. 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.

Monday-Friday, 2:30 - 11 pm EST.

The Federal Employee Program (FEP) provides health benefits to federal employees, retirees, and their families. Through its longstanding partnership with the federal government, FEP offers nationwide coverage and access to a broad network of providers, with a focus on delivering quality, affordable care.

The Telephonic Nurse Disease Management II is responsible for participating in and delivery of more complex patient education and disease management interventions and performs health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases.

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.

Directs members to facilities, community agencies and appropriate provider/network.

Serves as a resource to lower-leveled DM associates.

Refers member to catastrophic case management as appropriate.

Requires AS in nursing and minimum of 3 years of condition specific clinical or home health/discharge planning experience; Current unrestricted RN license in applicable state(s) required.

BS in nursing preferred.

Prior case management experience preferred.

Job Level: Non-Management Exempt

Workshift: 2nd Shift (United States of America)

Job Family: MED Licensed Nurse

Elevance Health