Telephonic Nurse Case Manager I in Georgia

Elevance Health; Georgia (VT); Remote; USD 60,000 - 100,000; Full time

Job summary

A leading health company is seeking a Telephonic Nurse Case Manager I to manage care for members with chronic needs. This virtual position requires candidates to reside in Georgia and involves coordination and assessment of care plans. The role offers a competitive salary along with a $3000 sign-on bonus, and is geared towards individuals with a BA/BS in health-related fields and relevant nursing licenses.

Benefits

Paid Time Off

Incentive bonus programs

401(k) + match

Medical, dental, and vision benefits

Life insurance

Wellness programs

Qualifications

• Requires a BA/BS in a health-related field.
• 3 years of clinical experience; RN license from the State of Georgia required.
• Multistate licensure is required for services in multiple states.

Responsibilities

• Responsible for telephonic care management for members with complex care needs.
• Conducts assessments and develops care management plans.
• Monitors and evaluates the effectiveness of care management plans.

Skills

Critical thinking

Communication

Time management

Education

BA/BS in a health-related field

Job description

Telephonic Nurse Case Manager I in Georgia

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Telephonic Nurse Case Manager I in Georgia

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Telephonic Nurse Case Manager I – $3000 Sign-On Bonus Offered

Location: This is a virtual position, but you must reside in the State of Georgia.

Work schedule: Monday – Friday 11:00am – 7:30pm with one 8:30am to 5pm EST shift per week.

This position will service members in different states; therefore Multi-State Licensure will be required.*

This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria.

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The Telephonic Nurse Case Manager I is responsible for telephonic care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.

How You Will Make An Impact

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
• Interfaces with Medical Directors and Physician Advisor’s on the development of care management treatment plans.
• Assists in problem solving with providers, claims or service issues.
• Assists with development of utilization/care management policies and procedures.
  
  

Minimum Requirements

• Requires a BA/BS in a health-related field.
• 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
• Current, unrestricted RN license from the State of Georgia required.
• Multistate licensure is required if this individual is providing services in multiple states.
  
  

Preferred Capabilities, Skills And Experiences

• Ability to talk and type at the same time preferred.
• Certification as a Case Manager is preferred.
• Demonstrate critical thinking skills when interacting with members preferred.
• Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly preferred.
• Ability to manage, review and respond to emails/instant messages in a timely fashion preferred.
  
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

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Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [e-mail] for assistance.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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