Anthem, Inc Nurse Care Mgr I - Disease Mgmt - Remote - PS16663 in Merrillville, Indiana

Nurse Care Mgr I - Disease Mgmt - Remote - PS16663

New

Location: United States

Field: Medical

Requisition #: PS16663

Post Date: 6 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)

Shift differentialprovided

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.

Required:

  • 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.

Preferred:

  • 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.