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Anthem, Inc. Nurse Disease Mgmt I - FHPS in Watertown, Massachusetts

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re 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.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Location: Work From Home position, but must reside within 50-60 miles and/or an hour or less commute of an Anthem Office. .

Shift: 2:30 - 11 PM EST Zone.

The Nurse Disease Management will be responsible for 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.

Nurse Disease Management I

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.

Qualifications

Nurse Disease Management I

  • Requires an AS/BS in nursing; 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.

  • Prior disease management experience preferred.

  • Must be eligible for multi-state license.

  • Experience with Coronary Artery Disease and COPD a plus.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

REQNUMBER: PS39057

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