Nurse Case Manager I

🕒 il y a 2 jours

🌪️ Kansas, Missouri – Distant

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⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

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👻 Score fantôme 10%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Elevance Health

Elevance Health

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 members and 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 • Facilitate authorizations and referrals within the benefits structure or through extra-contractual arrangements • Coordinate internal and external resources to meet identified needs • Interface with Medical Directors and Physician Advisors on care management treatment plans • Negotiate reimbursement rates, as applicable • Assist with provider, claims, or service issue problem solving • Perform duties telephonically or on-site, including hospital 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 providing an equivalent background • Current, unrestricted and active RN license in applicable state(s) • Multi-state licensure required when providing services in multiple states • Certification as a Case Manager preferred • BS in a health or human services-related field preferred • 4 years of Oncology experience preferred • Availability Monday–Friday, 8:30am–5:00pm CST • Candidates must reside within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law • New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided

🏖️ Avantages

• $3,000 sign-on bonus • Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs • Medical, dental, and vision benefits • Short- and long-term disability benefits • 401(k) with company match • Stock purchase plan • Life insurance • Wellness programs • Financial education resources • Virtual full-time work, except for required in-person training sessions • Work-life integration and flexible autonomy

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