Elevance Health
10,000+ employees
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.
Nurse Case Manager I
🔥 55 minutes ago
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Elevance Health
10,000+ employees
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.
📋 Description
• Perform care management telephonically within the scope of licensure for members with complex and chronic care needs • Assess, develop, implement, coordinate, monitor, and evaluate care plans designed to optimize member health care • Ensure member access to services appropriate to their health needs • Conduct assessments to identify individual needs and a specific care management plan • Implement care plan by facilitating authorizations/referrals as appropriate • Coordinate internal and external resources to meet identified needs • Monitor and evaluate effectiveness of the care management plan and modify as necessary • Interface with Medical Directors and Physician Advisors on the development of care management treatment plans • Assist in problem solving with providers, claims or service issues
🎯 Requirements
• Requires BA/BS in a health related field • Minimum of 3 years of clinical experience • Current, unrestricted RN license in applicable state(s) • Multi-state licensure is required if providing services in multiple states • Nurse case management experience is strongly preferred • Experience working with Medicare and Medicaid programs is strongly preferred
🏖️ Benefits
• 25 days annual leave • Private healthcare • Pension scheme • Flexible working hours • Professional development opportunities • Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs • Stock purchase plan • Life insurance • Wellness programs • Financial education resources
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