HMC Nurse Disease Mgt I (Condition Care) - 42687

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.