Demo

Nurse Disease Mgmt II

Elevance Health
St. Louis, MO Full Time
POSTED ON 3/12/2025
AVAILABLE BEFORE 5/12/2025

Telephonic Nurse Disease Management II

$2000 Sign on Bonus

Federal Employee Program - FEP, a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation upon which we are creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

Location: This is a virtual position, but you must reside within 50 miles of an Elevance Health Pulse Point.

Work schedule: Monday - Friday 10:30 am - 7 pm EST, 11 am - 7:30 pm EST, 12:30 pm - 9 pm EST or 2:30 pm - 11 pm EST.

The Telephonic Nurse Disease Management II 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. Conduct assessment, planning, implementation, coordination, monitoring, and evaluation of members through a telephonic/call center setting. Responsible for participating in and delivery of more complex patient education and disease management interventions and performing health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases.

How you will make an Impact:

  • 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 providers and other health professionals to coordinate health coaching plans 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 the effectiveness of interventions and/or health coaching plans and modifies them.

  • Directs members to facilities, community agencies, and appropriate providers/networks.

  • Refer member to catastrophic case management as appropriate.

  • Serves as a resource to lower-leveled DM associates.

Minimum Requirements:

  • Requires AS in nursing and a minimum of 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.

  • Current unrestricted RN license in applicable state(s) required.

Preferred Skills, Capabilities, and Experiences:

  • Must be eligible for a multi-state license.

  • BS in nursing preferred.

  • Prior case management experience is preferred.

  • Prior disease management experience is preferred.

  • Experience with Coronary Artery Disease and COPD is a plus.

  • Ability to meet necessary internet speed requirements and adhere to work-at-home agreements.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $76,944 to $120,912.

Locations: Colorado; Nevada.

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. 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.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 elevancehealthjobssupport@elevancehealth.com 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.

Salary : $76,944 - $120,912

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