Senior Nurse Case Manager II: Impactful Care & Equity

Elevance Health, Inc.; New York (NY); Presencial; USD 79.000 - 119.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k contrib

Descripción de la vacante

Elevance Health is seeking a Nurse Case Manager II in Latham, NY. This full-time role manages care for patients with complex needs, coordinating services and developing care plans to improve health outcomes.

The position requires an RN with 5+ years of clinical experience, a health-related BA/BS, and multi-state licensure. Compensation ranges from $79,464 to $119,196 per year, with standard benefits.

Formación

• BA/BS in a health-related field is required.
• Minimum of 5 years of clinical experience.
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure required if providing services in multiple states.
• Certification as a Case Manager preferred.

Responsabilidades

• 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.
• 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.

Conocimientos

Clinical experience

Care coordination

Communication skills

Educación

BA/BS in health-related field

RN license

Case Manager Certification

Descripción del empleo

Elevance Health is seeking a Nurse Case Manager II in Latham, NY. This full-time role manages care for patients with complex needs, coordinating services and developing care plans to improve health outcomes.

The position requires an RN with 5+ years of clinical experience, a health-related BA/BS, and multi-state licensure. Compensation ranges from $79,464 to $119,196 per year, with standard benefits.