Description

Nurse Disease Management Lead

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 2:30 pm - 11 pm EST.

The Nurse Disease Management Lead is responsible for maintaining an active caseload of the most complex cases and for serving as a lead by assisting team members in the delivery of disease management programs and by providing guidance and assistance with clinical, program, and client-specific questions and situations.

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.

* Refers members to catastrophic case management.

* Monitors assigned telephone skill groups and work volumes to meet individual and team performance expectations as related to call volume, call length, and productivity.

* Identifies potential obstacles to the attainment of service standards and reports possible solutions to the Manager.

* Assists in the development of new programs and initiatives, leads cross-functional teams, and may represent disease management or business unit on enterprise initiatives.

Minimum Requirements

* Requires AS in nursing and a minimum of 5 years of recent related clinical experience and a minimum of 2 years of experience in disease management; 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.

* A broad clinical knowledge base of disease management processes and motivational interviewing is strongly preferred.

* The ability to negotiate and facilitate the resolution of treatment is strongly preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $83,840 to $150,912.

Colorado Locations: California; Colorado; Hawaii Nevada; New York; Washington State; Jersey City, NJ.

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
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 assistance.