Field-Based RN Care Manager — Family Care

Elevance Health, Inc.; Racine (WI); Hybrid; USD 75.000 - 105.000; Vollzeit

Zusammenfassung

Elevance Health, Inc. is seeking an RN Clinician (RN Case Manager) to manage member care in the Wisconsin region, traveling to client sites and coordinating services within a hybrid work framework.

The role focuses on comprehensive assessments, care planning, and collaboration with the care team to optimize health outcomes for members with chronic conditions and disabilities. Requires Wisconsin RN license and relevant experience.

Qualifikationen

• Requires an Associate of Science in Nursing or Bachelors of Science in Nursing and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.
• Current, active valid and unrestricted RN license in Wisconsin is required
• Minimum of one year experience working with at least one of the Family Care target populations is required.

Aufgaben

• Perform telephonic and face-to-face functional assessments for identification, evaluation, coordination and management of member needs.
• Manage members with chronic illnesses to ensure cost-effective utilization of health benefits.
• Develop individual care plans based on member history and goals.
• Collaborate with family, physicians, and care team to set short/long-term goals.
• Lead care plan development and ensure access to services.
• Assist with authorizations/referrals within benefits structure or via extra-contractual arrangements.

Kenntnisse

Functional assessments

Chronic disease management

Care coordination

Interdisciplinary teams

Travel to client sites

Communication skills

Team collaboration

Ausbildung

Associate degree in Nursing

Bachelor of Science in Nursing

3 years case management experience

Tools

EHR (Epic)

Telehealth platforms

Jobbeschreibung

Elevance Health, Inc. is seeking an RN Clinician (RN Case Manager) to manage member care in the Wisconsin region, traveling to client sites and coordinating services within a hybrid work framework.

The role focuses on comprehensive assessments, care planning, and collaboration with the care team to optimize health outcomes for members with chronic conditions and disabilities. Requires Wisconsin RN license and relevant experience.