Remote Nurse Case Manager (RN) – Virtual Care Coordination

Elevance Health, Inc.; Oregon; Ibrido; USD 65.000 - 85.000; Tempo pieno

Descrizione del lavoro

Elevance Health's CareBridge Health division seeks a Nurse Case Manager I for 100% virtual work. The role focuses on care management for members with complex needs, conducting assessments, planning, coordinating, and monitoring care while supporting discharge planning as needed.

The position requires a BA/BS in a health-related field, an active RN license, and multi-state licensure if applicable. Hybrid/onsite training sessions may be required and some travel could be involved for onboarding.

Competenze

• BA/BS in a health related field and minimum of 3 years of clinical experience.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required if this individual is providing services in multiple states.

Mansioni

• Assess member needs and develop care management plans.
• Coordinate authorizations/referrals within benefits or extra-contractual arrangements.
• Coordinate internal and external resources to meet identified needs.
• Monitor and evaluate care plan effectiveness and modify as necessary.
• Interface with Medical Directors and Physician Advisors on care management plans.
• Negotiate rates of reimbursement, as applicable.
• Assist in problem solving with providers, claims or service issues.

Conoscenze

Clinical experience

RN licensure

Multi-state licensure

Formazione

BA/BS in health related field

Descrizione del lavoro

Elevance Health's CareBridge Health division seeks a Nurse Case Manager I for 100% virtual work. The role focuses on care management for members with complex needs, conducting assessments, planning, coordinating, and monitoring care while supporting discharge planning as needed.

The position requires a BA/BS in a health-related field, an active RN license, and multi-state licensure if applicable. Hybrid/onsite training sessions may be required and some travel could be involved for onboarding.