Nurse Case Manager SR
2 weeks ago
Shift: Monday- Friday , Shifts vary between 8am-11pm Est
Responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs.
Duties
Primary duties may include, but are not limited to:
- Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, out of network services, and appropriateness of treatment setting and level of care.
- Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance.
- Collaborates with providers to assess consumer needs for early identification of and proactive planning for discharge.
- Implements and coordinates a care plan; monitors and evaluates effectiveness of the care management plan and modifies as necessary.
- Serves as resource to lower-level nurses; functions as preceptor for new care management staff.
- Assists with development of care management policies, procedures, and new programs.
- Participates in or leads intradepartmental and cross-functional teams, projects and initiatives, process improvement activities.
- Serve as departmental liaison to other areas of the business unit and/or cross brand workgroups.
- a HS diploma or equivalent and a minimum of 5 years of acute care clinical experience, condition specific clinical experience, home health/discharge planning experience, case management experience, disease management experience and minimum of 1 year in Nurse Care Mgr II role or equivalent experience; or any combination of education and experience, which would provide an equivalent background.
- Current, active valid unrestricted RN license in applicable state(s) required.
- Multi-state licensure is required if this individual is providing services in multiple states.
- AS or BS in nursing preferred.
- Certification as a Case Manager is preferred.
Locations: Maryland
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.
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.
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 elevancehealthjobssupport@elevancehealth.com for assistance.
-
Nurse Case Manager Sr-1
4 weeks ago
Atlanta, Georgia, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled and experienced Nurse Case Manager Sr-1 to join our team at Elevance Health. As a key member of our healthcare team, you will be responsible for collaborating with healthcare providers and consumers to drive personalized health management and improve health outcomes for our members.Key ResponsibilitiesAssess the...
-
Nurse Case Manager SR-1
1 week ago
Atlanta, United States Elevance Health Full timeLocation: This is a virtual position . Shift: Monday- Friday , Shifts vary between 8am-11pm Est Responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and...
-
Nurse Case Manager
3 weeks ago
Atlanta, Georgia, United States Grady Health System Full timeJob SummaryThe Nurse Case Manager at Grady Health System collaborates with healthcare teams to provide optimal patient care, ensuring appropriate use of resources and facilitating timely care along the continuum. This role requires a Bachelor's Degree in Nursing, current Georgia RN license, and Basic Life Support certification. A minimum of three years of...
-
Nurse Case Manager
4 days ago
Atlanta, Georgia, United States CVS Health Full timeJob Title: Nurse Case ManagerCareers at CVS Health are built around the idea of making a difference in the lives of our patients and customers. As a Nurse Case Manager, you will play a critical role in delivering high-quality, patient-centered care to our members.Job Summary:This is a field-based position that requires travel to various locations, including...
-
Nurse Case Manager
4 weeks ago
Atlanta, Georgia, United States United Cerebral Palsy of Georgia Full timeJob Title: Registered Nurse-Case ManagerUnited Cerebral Palsy of Georgia, Inc. is seeking a highly skilled Registered Nurse-Case Manager to join our team. As a key member of our Program Support Services division, you will play a vital role in providing exceptional care to our consumers.Job Summary:The Registered Nurse-Case Manager will be responsible for...
-
Nurse Case Manager
3 weeks ago
Atlanta, Georgia, United States CVS Health Full timeJob Title: Nurse Case ManagerAt CVS Health, we're committed to delivering exceptional healthcare services that put our patients at the forefront of everything we do. As a Nurse Case Manager, you'll play a vital role in ensuring our patients receive the highest quality care and support.Job Summary:We're seeking a skilled and compassionate Nurse Case Manager...
-
Nurse Case Manager
3 weeks ago
Atlanta, Georgia, United States CVS Health Full timeJob Title: Nurse Case ManagerAt CVS Health, we're committed to delivering exceptional healthcare services that put our patients at the forefront of everything we do. As a Nurse Case Manager, you'll play a vital role in ensuring our patients receive the highest quality care and support.Job Summary:We're seeking a skilled and compassionate Nurse Case Manager...
-
Nurse Case Manager
3 weeks ago
Atlanta, Georgia, United States United Cerebral Palsy of GA Full timeJob Title: Registered Nurse - Case ManagerUnited Cerebral Palsy of Georgia, Inc. is seeking a skilled Registered Nurse to join our Program Support Services team as a Case Manager. In this role, you will be responsible for providing medical support and guidance to our consumers, ensuring their health and well-being are met.Key Responsibilities:Assess...
-
Case Manager
3 days ago
Atlanta, Georgia, United States Shepherd Center Full timeJob Title: Case ManagerShepherd Center is seeking a highly skilled and compassionate Case Manager to join our interdisciplinary team. As a Case Manager, you will play a vital role in facilitating the patient plan of care throughout the continuum of care, ensuring appropriate utilization management, care coordination, resource utilization, and clinical...
-
Nurse Case Manager II
4 days ago
Atlanta, Georgia, United States Elevance Health Full timeJob Title: Nurse Case Manager IIAt Elevance Health, we are seeking a highly skilled and compassionate Nurse Case Manager II to join our team. As a key member of our healthcare team, you will play a vital role in delivering high-quality, patient-centered care to our members.Job Summary:The Nurse Case Manager II will be responsible for collaborating with...
-
Nurse Case Manager
3 weeks ago
Atlanta, Georgia, United States Health eCareers Full timeJob Title: Home Care RN Case ManagerJob Summary:We are seeking a skilled and compassionate Registered Nurse to join our team as a Home Care RN Case Manager. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and case management services to patients in their homes.Key Responsibilities:Conduct comprehensive...
-
Nurse Case Manager
2 weeks ago
Atlanta, Georgia, United States Health eCareers Full timeJob Title: Home Care RN Case ManagerJob Summary:We are seeking a skilled and compassionate Registered Nurse to join our team as a Home Care RN Case Manager. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and case management services to patients in their homes.Key Responsibilities:Conduct comprehensive...
-
Nurse Case Manager Senior
2 weeks ago
Atlanta, Georgia, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled and experienced Nurse Case Manager to join our team at Elevance Health. As a Nurse Case Manager, you will play a critical role in collaborating with healthcare providers and consumers to drive personalized health management and improve health outcomes.Key ResponsibilitiesCollaborate with healthcare providers and...
-
Nurse Case Manager
2 days ago
Atlanta, Georgia, United States Elevance Health Full timeJob SummaryElevance Health is seeking a skilled Nurse Case Manager to join our team. In this role, you will be responsible for providing telephonic care management to members with complex and chronic care needs.Key Responsibilities:Assess member needs and develop individualized care plansCoordinate internal and external resources to meet identified...
-
Nurse Case Manager Senior
2 weeks ago
Atlanta, Georgia, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Nurse Case Manager to join our team at Elevance Health. As a key member of our care management team, you will be responsible for collaborating with healthcare providers and consumers to drive personalized health management and improve health outcomes.Key ResponsibilitiesAssess the medical necessity of inpatient...
-
Nurse Case Manager
3 weeks ago
Atlanta, Georgia, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Nurse Case Manager to join our team at Elevance Health. As a key member of our healthcare team, you will be responsible for providing high-quality care to our members with complex and chronic care needs.Key ResponsibilitiesAssess and develop individualized care plans to address the unique needs of our members.Coordinate...
-
Nurse Case Manager
3 months ago
Atlanta, United States Grady Health System Full timeJob DescriptionSUMMARY The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to: assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care...
-
Nurse Case Manager
2 weeks ago
Atlanta, United States Grady Health System Full timeJob DescriptionJob DescriptionSUMMARY The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to: assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary...
-
Clinical Case Manager
1 week ago
Atlanta, Georgia, United States Children's Healthcare of Atlanta Full timeJob SummaryWe are seeking a skilled Clinical Case Manager to join our team at Children's Healthcare of Atlanta. As a Clinical Case Manager, you will play a critical role in ensuring the seamless transition of patients from our rehabilitation program to their homes and communities.Key ResponsibilitiesFacilitate ongoing re-evaluation and oversight of patient...
-
Nurse Case Manager
3 months ago
Atlanta, United States Grady Health System Full timeJOB DESCRIPTION SUMMARY The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to: assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care...
