Nurse Disease Management I

About This Role

This role involves participating in the delivery of patient education and disease management interventions through telephonic health coaching for members with chronic diseases, impacting health improvement and management programs.

Responsibilities

• 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
• 2+ years of condition specific clinical or home health/discharge planning experience
• Current unrestricted RN license

Qualifications

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

Nice to Have

• BS in nursing
• Prior case management experience

Benefits