Telephonic RN Case Manager II — Complex Care Coordination

Elevance Health; Indiana (PA); Presencial; USD 70.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical, dental, and vision benefits

Short and long-term disabilitybenefits

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Descripción de la vacante

Elevance Health in Indianapolis, IN is seeking a Telephonic RN Nurse Case Manager II to perform care management for members with complex and chronic care needs. You will assess, develop, implement, coordinate, monitor, and evaluate care plans in a flexible work environment.

The role requires a BA/BS in a health-related field and a current, unrestricted RN license with multi-state licensure as needed; five years of clinical experience is preferred.

Formación

• BA/BS in a health-related field required.
• Minimum of 5 years of clinical experience required.
• Current, unrestricted RN license in applicable state(s) required; multi-state licensure required if providing services in multiple states.

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.
• Assist in problem-solving with providers.
• Assist with the development of utilization/care management policies and procedures.

Conocimientos

Care management

Assessments

Care coordination

Authorizations/referrals

Educación

BA/BS in a health-related field

RN license

Descripción del empleo

Elevance Health in Indianapolis, IN is seeking a Telephonic RN Nurse Case Manager II to perform care management for members with complex and chronic care needs. You will assess, develop, implement, coordinate, monitor, and evaluate care plans in a flexible work environment.

The role requires a BA/BS in a health-related field and a current, unrestricted RN license with multi-state licensure as needed; five years of clinical experience is preferred.