HMC Nurse Disease Mgt I (Condition Care) - 40421 - (US-MO-St. Louis - 63199)

Minimum Education: Tech School
Job Type: Full Time
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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.

We are currently recruiting for the following position: Nurse Disease Mgt. I

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. Essential 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. Performs other duties as assigned.

Skills:
* As business needs may require,this position may require additional state licenseseither now or in the future. Inability or unwillingness to obtain these required licenses may result in either re-assignment (if available) or termination. Obtaining required licenses is arequirement for continued employment.* Requires current unrestricted Missouri RN license in applicable state(s) 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.* Medicare Experience an added plus.* Hours during initial training will be full time 40 hours per week 8:30am-5pm Monday - Friday. After this available shifts include:Full Time: 12:30-9pm (5 days), 10:30am-9pm (4 days) or a Split Shift between a.m. and p.m. hours. Also every third Saturday.* This position is a staff level position as an RN within a Call Center environment.

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