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Health Promotion Consult Sr (RN Preferred) Community Health Nurse/ Public Health Nurse -Albuquerque, NM -PS26604

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Medical
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PS26604 Requisition #

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.


Health Promotions Consultant, Sr. /Community Health Nurse/Public Health Nurse -Albuquerque, NM PS26604


Summary: The Health Promotions Consultant, Sr. /Community Health Nurse/Public Health Nurse  is responsible for ensuring gaps in care closure, health education requirements, or other programs required by contracts.


Primary duties may include, but are not limited to:

  • Defines the health outcomes environment through development of key stakeholder criteria, identification of desirable community partners, availability of local programs and opportunities.

  • Provides/promotes provider training to assure compliance with government mandated health education programs and the health education referral system.

  • Establishes positive relationships with community based organizations and other key partners to gain understanding of the cultural and linguistic needs of members.

  • Recommends health education programs based on analysis of State/Regional/Local health statistics, disease prevalence, census data, and health care service usage.

  • Maps community based assets and collaborates with key stakeholders to leverage available resources for development of new and accessibility to existing health education/promotion programs.

  • Develops and implements strategies that promote local health education resources and address identified member health education needs


Qualifications:
  • Requires a BSN; 4 years of clinical experience in health care /managed care and with data analysis and interpretation; or any combination of education and experience, which would provide an equivalent background.
  • Current unrestricted RN license in applicable state(s) 
  • Must have ability to comprehend medical policy and criteria to clearly articulate health information.
  • Local Travel required. 
  • Medicare and Medicaid knowledge- highly preferred
  • Able to coordinate outreach to members in the community to attend local events and maintain a partnership; member facing; cultural alignment
  • Network/Identify with existing vendors, Expos to participate and align Anthem with scheduled events
  • Must be able to analyze data to better understand the population care gaps to get members to the health events/fairs
  • Experience as a community health worker explaining wellness prevention to the population
  • 3 years of HEDIS experience highly preferred
  • Background in Community/Public Health experience highly preferred
  • Spanish bilingual preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. 

An Equal Opportunity Employer/Disability/Veteran.

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Metrics & Data

Leverage your talents to make a difference in people's lives, by providing innovative, data-driven solutions that can measure and improve consumer's health.

Anthem metrics and data associates focus on creating innovative, data-driven solutions that can measure and track progress in our members’ health. Collaborate with internal and external experts to develop metrics-supported strategies for improving measurements and processes.

Enable physicians and hospitals to improve care with valuable information that improves care quality and affordability. Join us and help provide tools to help consumers make better decisions, as we create a simpler, more affordable, more accesible healthcare system.

Metrics and data associates at Anthem:

  • Develop statistical models and functional means for measuring the quality of health care members receive annually
  • Provide members with useful, powerful tools for self-evaluation and tracking of health issues and risk factors
  • Show initiative and make key decisions with the potential to dramatically influence patient outcomes and positively impact peoples' lives
  • Create thoughtful solutions that engage and empower members to make more informed decisions about their health and health care
  • Serve as a catalyst to improve the essential relationship between patient and health care provider
  • Leverage metrics and data to deliver resources that help overcome traditional coverage barriers such as education, literacy and language

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