Remote Nurse Case Manager I — Care Coordination

Elevance Health; Latham (NY); Hybride; USD 67 000 - 105 000; Plein temps

Résumé du poste

Elevance Health is seeking a Nurse Case Manager I to perform telephonic or on-site care management for members with complex and chronic needs. You will assess, develop, implement, coordinate, monitor, and evaluate care plans across the care continuum, including discharge planning at hospitals as needed.

The role requires a BA/BS in a health-related field with 3+ years of clinical experience and an active RN license (multi-state licensure preferred).

Qualifications

• BA/BS in health field with 3+ years clinical experience.
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure required for multi-state practice.
• Case Manager certification preferred.

Responsabilités

• Ensure member access to appropriate services.
• Assess needs and develop a care management plan.
• Facilitate authorizations/referrals within benefits structure.
• Coordinate internal and external resources.
• Monitor and adjust care plans as needed.
• Interface with Medical Directors/Physician Advisors on plans.
• Assist in problem solving with providers and claims.

Connaissances

RN license

Multi-state licensure

Case Manager certification (preferred)

Formation

BA/BS in health related field

3 years clinical experience

Description du poste

Elevance Health is seeking a Nurse Case Manager I to perform telephonic or on-site care management for members with complex and chronic needs. You will assess, develop, implement, coordinate, monitor, and evaluate care plans across the care continuum, including discharge planning at hospitals as needed.

The role requires a BA/BS in a health-related field with 3+ years of clinical experience and an active RN license (multi-state licensure preferred).