Anthem Nurse Disease Management I - Telecommute - FL or GA RN License (132228 KT) in Atlanta, Georgia

Anthem, Inc.is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions.

Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine.

Nurse Disease Management I - Telecommute

A current unrestricted FL or GA RN license is required (You must have one of these currently to be considered, will have to obtain the others once employed)

Responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases.

Primary duties may include, but are not limited to:

  • 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 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 as needed.

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

  • Refers member to catastrophic case management.

  • Responsible for outreach, enrollment and management of Disease Management members.

  • Provides education and coordination to address gaps in care for 11 managed conditions to ensure cost effective and efficient utilization of health services.

  • Conducts assessment, planning, implementation, coordination, monitoring and evaluation of members.

Specifics of role

  • Work from home position anywhere within the US.

  • Full time position (Monday - Friday 40 hour work week)

  • A current unrestricted FL or GA RN license is required (You must have one of these currently to be considered, will have to obtain the others once employed)

  • This position will require you to obtain additional licenses , you must be willing to do this with assistance from the department

Hours of Position (You must be able to work your shift in your time zone, no flexibility)

  • Monday - Friday 8:30 AM to 5:30 PM EST

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/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./

Required:

  • AS/BS in nursing

  • 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.

  • Experience working with electronic documentation and multiple databases.

  • Knowledge and experience working with Microsoft Office Products (Word, Excel, and Outlook)

  • 3 years of clinical RN experience

  • Current unrestricted RN license in FL or GA, even if you do not reside there

  • Current unrestricted RN license in current state

Preferred:

  • Prior case management experience.

  • Prior telephonic case management experience

  • Manage care experience

  • CCM strongly preferred

  • Previous work from home experience

/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./

Job Medical

Title: Nurse Disease Management I - Telecommute - FL or GA RN License (132228 KT)

Location: georgia-Atlanta

Requisition ID: 132228