Telephonic Nurse Case Manager II — Complex Care

Elevance Health; Indiana (PA); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

Paid Time Off

Incentive programs

Medical coverage

Dental coverage

Vision benefits

Disability benefits

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Job summary

Elevance Health in Indianapolis seeks a Telephonic Nurse Case Manager II to assess, develop, implement and monitor care plans for members with complex and chronic conditions.

In this role you will coordinate referrals, authorizations, and internal/external resources, liaising with Medical Directors to optimize treatment plans.

The position requires a BA/BS in a health field and a current RN license; at least five years of clinical experience, including telephonic case management.

Qualifications

• BA/BS in a health-related field is required.
• Current, unrestricted RN license in applicable state(s) required.
• Multistate licensure required if providing services in multiple states.
• Case Manager certification preferred.

Responsibilities

• Assess individual needs and develop specific 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.
• Assist with the development of utilization/care management policies and procedures.

Skills

Clinical experience

Telephonic case management

Care coordination

Problem solving

Interdisciplinary collaboration

Education

BA/BS in health-related field

RN license

Multi-state licensure

Case Manager Certification

Job description

Elevance Health in Indianapolis seeks a Telephonic Nurse Case Manager II to assess, develop, implement and monitor care plans for members with complex and chronic conditions.

In this role you will coordinate referrals, authorizations, and internal/external resources, liaising with Medical Directors to optimize treatment plans.

The position requires a BA/BS in a health field and a current RN license; at least five years of clinical experience, including telephonic case management.