Anthem Nurse Care Mgr I - Disease Mgmt - Remote - PS16663 in Evansville, Indiana
Nurse Care Mgr I - Disease Mgmt - Remote - PS16663
Location: United States
Requisition #: PS16663
Post Date: 5 days ago
Your Talent. OurVision. 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.
Nurse Care Manager I- Disease Management Position
Anthem Office orRemote
Remote - must have a private work at homeoffice
Must have current unrestricted RNlicense
and no difficulty getting licensed in otherstates
compact license preferred; CT, OH, WI, GA, CApreferred
(Must have multi-statelicensure)
Full timeposition Monday - Friday 3:30 pm - midnight EST and every5th Saturday 9:00 am - 7:30 pm EST (Sat 8 hour shift TBD)
The Nurse Care Manager I - Disease Management- is responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs. Primary duties may include, but are not limited to:
Partners with physician clinical reviewers and/or medical directors tointerpret appropriateness of care, intervention planning, and general clinicalguidance.
Conducts clinical assessment to develop goals that address individual needsin order to develop and implement a care plan.
Monitors and evaluates effectiveness of the care management plan andmodifies as necessary.
AS/BS in nursing
3 years of acute care clinical experience
Or any combination of education and experience, which would provide anequivalent background.
Experience working with members with CAD, CHF, Asthma, COPD, anddiabetes.
Current, unrestricted RN license in state you reside in.
Multi-state licensure is required if this individual is providing servicesin multiple states.
Knowledge and experience working with Microsoft Office Products (Word,Excel, and Outlook).
Experience working with electronic documentation and multipledatabases.
Prior telephonic nurse management experience
Experience working with members with CAD, CHR, Asthma, COPD, anddiabetes
Managed care experience
Previous work from home experience
Anthem, Inc. isranked as one of America’s Most Admired Companies among health insurers byFortune magazine and is a 2018 DiversityInc magazine Top 50 Company forDiversity. To learn more about our company and apply, please visit us atcareers.antheminc.com. An Equal OpportunityEmployer/Disability/Veteran.