Nurse Disease Management I
Core
Conducts behavioral and clinical assessments to identify member needs, coordinates health coaching plans, and facilitates referrals to health professionals for chronic disease management.
Role type
Licensed Nurse Disease Management Specialist
Builds
Health coaching plans and care coordination for members with chronic conditions
Domain
Healthcare / Chronic Disease Management
Deliverable
client delivery
Required skills
Clinical assessment, health coaching, motivational interviewing, care plan coordination, provider network navigation, behavioral health facilitation
Preferred skills
Case management experience, Labor and Delivery/Postpartum/OB Clinic experience, BSN degree
Technologies
None stated
Responsibilities
Conduct behavioral or clinical assessments to identify member knowledge and behavioral needs; Coordinate specific health coaching plans to address identified objectives; Interface with providers to coordinate care plans; Implement coaching and care plans by educating members and facilitating referrals; Use motivational interviewing to facilitate health behavior change; Monitor and evaluate intervention effectiveness; Direct members to facilities, community agencies, and appropriate providers; Refer members to catastrophic case management
Seniority
Entry-level to Mid-level (2+ years experience required)