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Nurse Disease Management I

Company: Anthem
Location: Indianapolis
Posted on: May 16, 2022

Job Description:

SHIFT: Day Job

SCHEDULE: Full-time
Be part of an extraordinary team
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Location: Work@Home in NV, OH, NY, CT, GA, ME, IN, CO, MO, VA, KY, NH, WI, TX. Must reside within a 2-hour commute of an Anthem Office. Work Hours: Scheduled 8-hour shift between 11am - 11pm Eastern Standard Time.Potential shift options:11:00am-7:30pm EST12:30pm-9:00pm EST2:30pm-11:00pm ESTAvailable shifts to be discussed at time of interview.
How you will make an Impact:The Nurse Disease Management I, II or Sr. will be responsible for telephonic outreach, enrollment, and management of Disease Management members. Provides education and coordination to address gaps in care for multiple managed conditions to ensure cost effective and efficient utilization of health services. Conducts assessment, planning, implementation, coordination, monitoring and evaluation of members through telephonic/call center setting. Responsible for participating in delivery of patient education and disease management interventions, performing health coaching for members, across multiple lines, and 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.
  • Directs members to facilities, community agencies and appropriate provider/network.
  • Refers member to catastrophic case management as appropriate.
  • Assists with development of new programs and initiatives, leads departmental projects or participates on cross-functional teams.QualificationsMinimum Qualifications:
    • 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:
      • Ability to obtain multi-state license.
      • Prior disease management experience preferred.
      • Experience with Coronary Artery Disease and COPD a plus.
      • Ability to meet necessary internet speed requirements and adhere to work at home agreement.Applicable to Colorado Applicants Only Annual Salary Range*:Nurse Disease Management I: Annual Salary Range: $63,252 - $79,065Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
        • The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
          We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

          The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

          Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem 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 ability@icareerhelp.com for assistance.
          Highschool GED
          2 - 5 years

Keywords: Anthem, Indianapolis , Nurse Disease Management I, Executive , Indianapolis, Indiana

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