Field-Based RN Case Manager, Family Care

Elevance Health, Inc.; Kenosha (WI); Híbrido; USD 75.000 - 95.000; Jornada completa

Descripción de la vacante

Elevance Health is seeking a LTSS Service Coordinator‑RN Clinician (RN Case Manager) to manage member care plans in Wisconsin, coordinating services across the care continuum with a person-centered approach. This field-based role travels to client sites and requires collaboration with the health care team.

The successful candidate will have an active Wisconsin RN license, 3+ years in case management or related roles, and a strong focus on chronic conditions and disability supports for long-term

Formación

• 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.
• 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.

Responsabilidades

• Perform telephonic and face-to-face functional assessments to identify, evaluate, coordinate and manage member needs.
• Manage members with chronic illnesses to ensure cost-effective and efficient utilization of health benefits.
• Develop an individual care plan based on member history and goals.
• Collaborate with member, caregivers, and physicians to set short/long-term goals.
• Develop care plans and ensure access to services.
• Facilitate authorizations/referrals for utilization of services within benefits or arrangements.
• Interface with Medical Directors and Inter-Disciplinary Teams on care management.

Conocimientos

RN License

Field travel

Communication

Team collaboration

Crisis management

Educación

AS in Nursing

BSN preferred

Herramientas

Technology use

Descripción del empleo

Elevance Health is seeking a LTSS Service Coordinator‑RN Clinician (RN Case Manager) to manage member care plans in Wisconsin, coordinating services across the care continuum with a person-centered approach. This field-based role travels to client sites and requires collaboration with the health care team.

The successful candidate will have an active Wisconsin RN license, 3+ years in case management or related roles, and a strong focus on chronic conditions and disability supports for long-term