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Utilization Management Representative I
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Nurse Disease Mgmt I
2 months ago
Telephonic Nurse Disease Management I Sign-on Bonus: $2000 At Federal Health Products and Services - FHPS, a proud member of the Elevance Health, Inc. family of companies, 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. Location: This is a virtual position, but you must reside within 50 miles of an Elevance Health Pulse Point. Work schedule: Monday - Friday 12:30 pm - 9 pm, or 2:30 pm - 11 pm EST. The Telephonic Nurse Disease Management I is responsible for participating in the 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. 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 as needed. Directs members to facilities, community agencies, and appropriate providers/networks. Refers members to catastrophic case management. Minimum Requirements: Requires AS in nursing and a 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: BS in nursing preferred. Prior case 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 $67,116 to $105,468 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.
