Nurse Disease Management I

About This Role

This role is responsible for delivering patient education and disease management interventions through health coaching for members with chronic diseases. It is a telephone-based position focusing on health improvement and management programs.

Responsibilities

• Utilize an auto dialer system to contact existing and potential customers
• Achieve and exceed productivity targets while ensuring high-quality interactions
• 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 provider and other health professionals to coordinate health coaching plan for the member
• 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
• Refer member to catastrophic case management

Requirements

• AS in nursing
• Minimum of 2 years of condition specific clinical or home health/discharge planning experience
• Current unrestricted RN license in applicable state(s)

Qualifications

• AS in nursing
• 2+ years of condition specific clinical or home health/discharge planning experience

Nice to Have

• BS in nursing
• Prior case management experience
• Experience documenting electronic medical records

Benefits