Nurse Case Manager II — Complex Care & Equity

Elevance Health, Inc.

California

In loco

USD 58.000 - 90.000

Tempo pieno

4 giorni fa

Candidati tra i primi

Aumenta le possibilità di ricevere una risposta da questo datore di lavoro

Il tuo curriculum e una lettera di presentazione personalizzati, che corrispondono esattamente a ciò che sta cercando.

Supera i filtri ATS

Vantaggi offerti da questo lavoro

Comprehensive benefits package

Equity stock purchase and 401k

Incentive and recognition programs

Descrizione del lavoro

Elevance Health in Woodland Hills, CA seeks a Nurse Case Manager II to oversee care management for members with complex and chronic health needs, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize overall health outcomes. The role requires a BA/BS in a health-related field, 5+ years of clinical experience, and an active RN license (multi-state licensure preferred).

This full-time position features daytime hours with occasional evening shifts, and offers a

Competenze

BA/BS in a health-related field required.
RN license current and unrestricted in applicable state.
Multi-state licensure required if providing services in multiple states.
Minimum of 5 years of clinical experience.
Certification as a Case Manager preferred.

Mansioni

Assess individual needs and develop specific care management plans.
Implement care plans by facilitating authorizations/referrals.
Coordinate internal and external resources to meet identified needs.
Monitor and evaluate the effectiveness of care management plans.
Interface with Medical Directors and Physician Advisors on treatment plans.
Negotiate rates of reimbursement as applicable.
Assist in problem solving with providers, claims, or service issues.
Assist with the development of utilization/care management policies and procedures.