Nurse Case Manager I

Elevance Health, Inc.; New York (NY); On-site; USD 67,000 - 121,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Job summary

Elevance Health, Inc. is seeking a Nurse Case Manager I in the New York area to assess, develop, implement, and monitor care plans for members with complex health needs.

You will coordinate with internal teams and external providers to ensure appropriate services are accessed and care plans are executed effectively. This full-time role requires a BA/BS in a health-related field, at least 3 years of clinical experience, and an active RN license.

Qualifications

• BA/BS in health-related field is required
• Minimum of 3 years of clinical experience required
• Current, unrestricted RN license in applicable state(s) required
• Multi-state licensure required if providing services in multiple states; CM certification and compact license preferred

Responsibilities

• Ensure member access to services appropriate to their health needs
• Conduct assessments to identify individual needs and develop care management plans
• Implement care plans by facilitating authorizations/referrals as appropriate
• Coordinate internal and external resources to meet identified needs
• Monitor and evaluate the effectiveness of care management plans and modify as necessary
• Interface with Medical Directors and Physician Advisors on care management treatment plans
• Assist in problem solving with providers, claims, or service issues

Skills

Clinical assessment

Care coordination

Interdisciplinary collaboration

Communication skills

Education

BA/BS in health-related field

Job description

About This Role

The Nurse Case Manager I is responsible for performing care management for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans. This role is ideal for experienced nurses looking for a flexible work environment.

Highlights

• Pay: $67,200 - $120,960/year
• Location: Latham, NY
• Schedule: Full-time, Monday - Friday, 8am-4:30pm EST, with one 11:30am-8pm EST shift every other week

What You'll Do

• Ensure member access to services appropriate to their health needs
• Conduct assessments to identify individual needs and develop care management plans
• Implement care plans by facilitating authorizations/referrals as appropriate
• Coordinate internal and external resources to meet identified needs
• Monitor and evaluate the effectiveness of care management plans and modify as necessary
• Interface with Medical Directors and Physician Advisors on care management treatment plans
• Assist in problem solving with providers, claims, or service issues

Requirements

Education:

• BA/BS in a health-related field required

Experience:

• Minimum of 3 years of clinical experience required

Licenses & Certifications:

• Current, unrestricted RN license in applicable state(s) required
• Multi-state licensure required if providing services in multiple states
• Certification as a Case Manager preferred
• Compact RN license preferred

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution

About Elevance Health

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. They are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels who are passionate about making an impact on their members and the communities they serve.