Nurse Disease Management II
Core
Conducts behavioral and clinical assessments to identify patient needs, coordinates health coaching plans, and facilitates referrals for chronic disease management.
Role type
Senior clinical nurse (disease management)
Builds
Health improvement and management programs for members with chronic diseases
Domain
Healthcare / Chronic Disease Management
Deliverable
client delivery
Required skills
Clinical assessment, health coaching, motivational interviewing, care plan coordination, provider network navigation, case management
Preferred skills
Case management experience, Bachelor of Science in Nursing
Technologies
None stated
Responsibilities
Conduct behavioral or clinical assessments to identify member knowledge and behavioral needs; Coordinate health coaching plans with providers and health professionals; Educate members on clinical needs and facilitate referrals for behavioral health; Monitor and evaluate intervention effectiveness; Direct members to community agencies and appropriate providers; Serve as a resource for lower-level associates
Seniority
Mid-level, hands-on IC