Nurse Case Manager – Remote CA HMO (RN)

IntelliResume; California (MO); On-site; USD 74,000 - 121,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

Elevance Health is seeking a Nurse Case Manager I (California HMO) to manage care for members with complex healthcare needs. The role allows for flexibility and autonomy in a virtual work environment. Candidates should hold a BA/BS in a health-related field and have at least 3 years of clinical experience.

The position offers a pay range between $73,920 and $120,960 and includes a comprehensive benefits package, incentive programs, and equity stock purchase options.

Qualifications

• Minimum of 3 years of clinical experience required.
• Current, unrestricted RN license in the state of California required.

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.

Education

BA/BS in a health-related field

Job description

Elevance Health is seeking a Nurse Case Manager I (California HMO) to manage care for members with complex healthcare needs. The role allows for flexibility and autonomy in a virtual work environment. Candidates should hold a BA/BS in a health-related field and have at least 3 years of clinical experience.

The position offers a pay range between $73,920 and $120,960 and includes a comprehensive benefits package, incentive programs, and equity stock purchase options.