Description |
Job Description WellPoint is one of the nations leading health benefits insurers and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers. Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine. If you envision a rewarding career opportunity that offers more free time with your family and more time to explore your passions outside of traditional work hours - this unique opportunity is just for you! Our Care Management Nurses are not even scheduled to work on Sundays or Holidays! We are offering telecommuting opportunity and various flexible hours for part-timeand full-timepositions! Full-time Split-shift: 9 am -1pm and 5 pm - 9 pm or6 pm -10 pm rotating every third Saturday Full-time Split-shift: 10 am - 2 pm and 6 pm - 10 pm rotating every third Saturday Part-time Day: 8 am - 12 pm or9 am -1pm or10 am - 2pm rotating every third Saturday Part-time Evening: 6 pm - 10 pm or7 pm - 11 pm rotating every third Saturday Full-time: 12:30 pm - 9 pm rotating every rotating every third Saturday Location: Any US Location - Telecommuting As a Nurse Care Manager, you will be responsible to optimize member health care though the delivery of member education, triage and/or disease management interventions and performs health coaching for members, across multiple medical condition lines, for health improvement/management/triage programs. Duties may include, but are not limited to: Behavioral or clinical assessments to identify health needs and where applicable, provides thorough symptom assessment using established protocols. Provides relevant health information, identifies and/or coordinates specific health coaching plan to facilitate objectives and goals, coordinates assessment by interfacing with provider and other health professionals, facilitates referrals. Establishes and maintains supportive relationships with members and their families as necessary. Monitors and evaluates effectiveness of interventions and/or health coaching plans and modifies as needed. Refers member to catastrophic case management or other management programs as appropriate. Coordinates internal and external resources to meet identified needs. Presents cases for discussion at Grand Rounds/Care Conferences. May require the development of a focused skill set including comprehensive knowledge of specific disease process or traumatic injuries. Job Qualifications Requires current unrestricted RN license in applicable state(s). Requires at least 2 years of experience in a clinical setting, 3 years preferred. Bachelors degree in nursing, certification in appropriate product/service, or case management experience preferred. Must be bilingual and proficient in both Spanish and English. Prefers a proven track record for providing sound medical and behavioral assessments using motivational interviewing skills to obtain information as well as facilitate health behavior change is desirable. Excellent oral and written communication skills, analytical and research skills, motivational skills, advanced typing and PC skills. Must be able to be licensed in multiple states on a timely basis. This position is a staff level RN position within a Call Center environment and requires on-line pre-employment skills assessments. The assessments are free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. WellPoint is ranked as one of America-Ts Most Admired Companies among health insurers by Fortune magazine and is a 2012 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at
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