Nurse Case Manager – 100% Virtual

🕒 il y a 6 jours

🤠 Texas – Distant

🤠 Texas – Remote

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 10%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Elevance Health

Site WebLinkedInTous les Emplois

10 000+ employés

🏥 Santé

⚕️ Assurance santé

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Animés par notre objectif audacieux d'améliorer la santé de l'humanité, nous nous transformons d'une organisation traditionnelle d'avantages de santé en un partenaire de santé de confiance à vie.

Description

• Perform care management within the scope of licensure for members with complex and chronic care needs • Assess, develop, implement, coordinate, monitor, and evaluate care plans • Optimize member healthcare across the care continuum • Ensure member access to services appropriate to their health needs • Conduct assessments to identify individual needs and care management objectives and goals • Facilitate authorizations and referrals within the benefits structure or through extra-contractual arrangements • Coordinate internal and external resources to meet identified needs • Monitor and evaluate care plan effectiveness and modify plans as necessary • Interface with Medical Directors and Physician Advisors on care management treatment plans • Negotiate reimbursement rates, as applicable • Assist with provider, claims, or service issues • Perform duties telephonically or on-site, such as at hospitals for discharge planning

🎯 Exigences

• BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background • Current, unrestricted RN license in applicable state(s) required • Multi-state licensure is required if providing services in multiple states • Certification as a Case Manager is preferred • Prior case management experience is strongly preferred • Home health experience is strongly preferred • Monday–Friday availability from 11am–8pm CST • Candidates must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law • New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza; acceptable explanation required if not vaccinated

🏖️ Avantages

• Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs (unless covered by a collective bargaining agreement) • Medical benefits • Dental benefits • Vision benefits • Short-term disability benefits • Long-term disability benefits • 401(k) + match • Stock purchase plan • Life insurance • Wellness programs • Financial education resources • Virtual full-time work arrangement, except for required in-person training sessions • Flexible work-life integration and autonomy