Nurse Care Mgr I - Disease Mgmt - Remote - PS22421

Anthem, Inc. - United States

Your 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 Position

Anthem Office or Remote

Remote - must have a private work at home office

Must have current unrestricted RN license

and no difficulty getting licensed in other states

compact 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 TBD)

Must be within 90 miles of an Anthem office

Shift differential provided

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 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 nursing3 years of acute care clinical experienceOr any combination of education and experience, which would provide an equivalent background.Experience working with members with CAD, CHF, Asthma, COPD, and diabetes.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 experienceExperience working with members with CAD, CHR, Asthma, COPD, and diabetesManaged care experiencePrevious work from home experienceAnthem, 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 An Equal Opportunity Employer/Disability/Veteran.