Nurse Care Mgr I - Disease Mgmt - Remote - PS21856

Nurse Care Mgr I - Disease Mgmt - Remote - PS21856

28 May 2024
West Virginia, Charleston 00000 Charleston USA

Nurse Care Mgr I - Disease Mgmt - Remote - PS21856

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Nurse Care Mgr I - Disease Mgmt - Remote - PS21856Location: United StatesNewRequisition #: PS21856Your Talent. Our Vision. 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 PositionAnthem Office or RemoteRemote - must have a private work at home officeMust have current unrestricted RN licenseand no difficulty getting licensed in other statescompact license preferred; CT, OH, WI, GA, CA preferred(Must have multi-state licensure)Full time position Monday - Friday 3:30 pm - 12:00 am EST and every 5th Saturday 11:00 am - 7:30 pm EST (Sat 8 hour shift)Must be within 90 miles of an Anthem officeShift differential providedThe 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 to interpret appropriateness of care, intervention planning, and general clinical guidance.

Conducts clinical assessment to develop goals that address individual needs in order to develop and implement a care plan.

Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

Required:

AS/BS in nursing

3 years of acute care clinical experience

Or any combination of education and experience, which would provide an equivalent background.

Current, unrestricted RN license in state you reside in.

Multi-state licensure is required if this individual is providing services in multiple states.

Knowledge and experience working with Microsoft Office Products (Word, Excel, and Outlook).

Experience working with electronic documentation and multiple databases.

Preferred:

Prior telephonic nurse management experience

Experience working with members with CAD, CHR, Asthma, COPD, and diabetes

Managed care experience

Previous work from home experience

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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