HMC Nurse Disease Mgt I/II (Condition Care) - VA ($500 Gas Card Entry)

WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide.

HMC Nurses Change Lives! 
Come grow with us and help us build some healthier lives, including yours. Join the HMC family where employee well being and satisfaction is the core of our vision. Experience the refreshing difference of a HMC career.
 
HMC (Health Management Corporation) is a wholly owned subsidiary of WellPoint, Inc. The WellPoint family of companies provides health care benefits to approximately 34 million people and is the largest publicly traded commercial Health benefits company in the United States.

Work schedule:  4 (10 hour shifts) 10:30am to 9:00pm or 5 (8 hour shifts) 12:30 pm - 9:00 pm.  (10% shift differential for entire shift)  Required to work 1 Saturday per month.
 

This position is a staff level position as a RN within a Call Center environment


 

Participates in delivery of patient education and disease management interventions and performs health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases. Primary duties may include, but are not limited to: 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 provider and other health professionals to coordinate health coaching plan 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 effectiveness of interventions and/or health coaching plans and modifies as needed. Directs members to facilities, community agencies and appropriate provider/network. Refers member to catastrophic case management as appropriate.Requires current unrestricted RN license from the Commonwealth of Virginia Board of Nursing and 2-3 years of condition specific clinical or home health/discharge planning experience or any combination of education and experience, which would provide an equivalent background. Prior case management experience preferred. Requires strong oral and written communication skills, analytical and research skills, motivational skills, and PC skills.