Nurse Disease Management II at Elevance Health

Indianapolis, Indiana, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

Associate's degree (AS) in nursing
Minimum of 3 years of condition-specific clinical or home health/discharge planning experience (or equivalent combination of education and experience)
Current unrestricted RN license in applicable state(s)
Ability to meet necessary internet speed requirements and adhere to work-at-home agreements
Eligible for a multi-state license (preferred)
Bachelor's degree (BS) in nursing (preferred)
Prior case management experience (preferred)
Prior disease management experience (preferred)
Experience with Coronary Artery Disease and COPD (preferred)

Responsibilities

Participate in and deliver more complex patient education and disease management interventions
Perform health coaching for members across multiple lines for health improvement/management programs for chronic diseases
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 effectiveness of interventions and/or health coaching plans and modify as needed
Direct members to facilities, community agencies, and appropriate provider/network
Serve as a resource to lower-leveled DM associates
Refer members to catastrophic case management as appropriate

Skills

Nursing

Disease Management

Health Coaching

Patient Education

Clinical Assessments

Care Coordination

Telephonic Care

Behavioral Health

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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