Carelon Health Care Manager

3 weeks ago

PALO ALTO, United States Elevance Health Full time

Carelon Health Care Manager

Location : Remote - within 50 miles of an Elevance Health pulse point in CA.

Hours : Monday - Friday, 8 am – 5 pm PST

The Carelon Health Care Manager, is responsible for managing quality, cost effective care using selective benefits and alternative services best suited for the member.

How you will make an impact:

  • Collaborates in a patient care process to assess, plan, facilitate, coordinate, monitor, and evaluate options and services to meet member's health needs.

  • Supports member or their representative in regard to care, care transitions, and changes in health status.

  • Implements a comprehensive clinical case management plan for each patient.

  • Obtains input from providers, patient, and family as appropriate, and evaluates and revises the plan as needed.

  • Analyzes patient variances from the plan and initiates the appropriate steps to resolve variances. Performs admission and concurrent stay reviews on hospitalized patients.

  • Develops and implements discharge planning for patients in conjunction with hospital based case managers.

  • Performs telephonic, fax and/or on-site reviews with skilled nursing facilities, home health agencies or other contracted service agencies to determine need for continued care.

Minimum Requirements:

  • Requires a LVN, LPN or RN and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background.

  • Current unrestricted LVN, LPN, or RN license in applicable state(s) required.

  • For Carelon Health business units, satisfactory completion of a Tuberculosis test is a requirement for this position.

Preferred Skills, Capabilities, and Experiences:

  • RN preferred

  • Certified Case Management experience is strongly preferred.

  • Telephonic Case Management experience is strongly preferred.

* For candidates working in person or remotely in the below locations, the salary* range for this specific position is $37.19 to $60.86

Locations : California

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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