Virtual Nurse Case Manager I - Care Coordination

Elevance Health, Inc.; United States; Remoto; USD 67.000 - 121.000; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive benefits

401(k) + match

Stock purchase plan

Descrizione del lavoro

Elevance Health is a health company seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs, assessing and coordinating care plans across the continuum. This telephonic role supports discharge planning and may involve hospital settings.

The work location is virtual full-time with occasional required in-person trainings; alternate locations may be considered within commuting distance.

Competenze

• Requires 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

• Ensures member access to services appropriate to their health needs.
• 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 Advisors on the development of care management treatment plans.
• Assists in problem solving with providers, claims or service issues.

Conoscenze

Care management

Discharge planning

Telephonic work

Collaboration with physicians

Formazione

BA/BS in health-related field

RN license

Multi-state licensure

Descrizione del lavoro

Elevance Health is a health company seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs, assessing and coordinating care plans across the continuum. This telephonic role supports discharge planning and may involve hospital settings.

The work location is virtual full-time with occasional required in-person trainings; alternate locations may be considered within commuting distance.