Telephonic Nurse Case Manager I
1 month ago
Description Telephonic Nurse Case Manager I Location: This is a virtual position. Prefer candidates reside within 50 miles of an Elevance Health Pulse Point location. Hours: Monday - Friday 8:00am - 4:30pm EST, with some evening availability. The Telephonic Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * 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. * Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Minimum Requirements: * Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills, and Experiences: * Compact RN licensure preferred. * Managed Care experience preferred. * Hospice, Home Health and Insurance experience preferred. * Certification as a Case Manager is preferred. * Ability to talk and type at the same time. * Demonstrate critical thinking skills. * Ability to learn new computer programs/systems/software quickly. * Ability to manage, review and respond to emails/instant messages in a timely fashion. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $67,116 to $100,674. Locations: New York 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. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. 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.comfor assistance.
-
Case Management
1 month ago
Wilmington, DE, United States Nemours Foundation Full timeCase Management - RNThe Nurse Case Manager (NCM) is responsible for the coordination of care of individual patients in the Inpatient acute care environment at Nemours and those discharging from other community hospitals. Through the use of the nursing process, the patient care will be assessed, planned, implemented and evaluated with consideration to the...
-
Case Management
3 weeks ago
Wilmington, DE, United States Nemours Foundation Full timeCase Management - RNThe Nurse Case Manager (NCM) is responsible for the coordination of care of individual patients in the Inpatient acute care environment at Nemours and those discharging from other community hospitals. Through the use of the nursing process, the patient care will be assessed, planned, implemented and evaluated with consideration to the...
-
Judicial Case Manager I
5 months ago
Wilmington, United States DelDOT Full timeSummary Statement This is the entry level of caseload management work learning the legal processes and procedures and case management functions while performing the full range of case management activities. Career Ladder Upon satisfactory completion of department promotional standards and job requirements, employees may be eligible to be...
-
Judicial Case Manager I
3 months ago
Wilmington, United States DelDOT Full timeIntroduction Family Court’s mission is to provide equal access to justice for the families and children under its jurisdiction in a manner that is fair and efficient and that maintains the public’s trust and confidence in an independent and accountable judiciary. We strive each day to build an atmosphere that ensures all members of the public are...
-
LPN Telephonic Case Manager
4 weeks ago
Las Vegas, NV, United States Optum Full time$4,000 Sign-on Bonus for External Candidates Please note this is a clinic-based role; NOT remote For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Southwest Medical, part of...
-
Judicial Case Manager I
3 weeks ago
Wilmington, United States DelDOT Full timeSummary Statement This position is responsible for auditing accountings filed in the Guardianship and Trust under Will division of the Court. The position is responsible for ensuring accountings are filed in a timely manner, auditing the accounting in a detailed manner to ensure all money has been spent for the benefit of the protected person and all...
-
RN Case Manager
1 week ago
Wilmington, DE, United States ChristianaCare Full timeJob DescriptionRN Case Manager – CareVio – Cardio-Pulmonary CareDay Shift (Hours: M-F 8-4:30p with 1-2 Evening Shift per week: 8-8 pm)Wilmington, DEChristianaCare CareVio is hiring an RN Case Manager for Longitudinal Care Coordination for Cardio-Pulmonary. The RN will coordinate the utilization of healthcare resources, including transition planning,...
-
Case Management
3 months ago
Wilmington, DE, United States Nemours Full timeThe Nurse Case Manager (NCM) is responsible for the coordination of care of individual patients in the Inpatient acute care environment at Nemours and those discharging from other community hospitals. Through the use of the nursing process, the patient care will be assessed, planned, implemented and evaluated with consideration to the appropriate use of...
-
Judicial Case Processor I
3 months ago
Wilmington, United States DelDOT Full timeSummary Statement This is the entry level of case processing work in the Court of Chancery, learning the legal processes and procedures and performing the full range of processing activities of limited complexity within the Court. An employee will become eligible for consideration to move to the next level of the career ladder after one year within...
-
Registered Nurse Case Manager
7 days ago
Newburg, OR, United States TotalMed Case Management Staffing Full timePosition OverviewTotalMed Case Management Staffing is currently seeking a skilled Travel Nurse RN specializing in Case Management.Job Responsibilities & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelDuration: 13 weeksWork Schedule: 40 hours per weekShift: 8 hours, daysAs a Case Manager-Registered Nurse, you will be responsible...
-
RN Case Manager
3 months ago
Wilmington, DE, United States ChristianaCare Full timeRN Case Manager – Weekend Incentive Program (WIP) - Day ShiftSaturday & Sunday (Hours: 8a-8:30p plus one rotating Friday shift (4p-8p). Wilmington, DEChristiana Care - Wilmington Hospital currently recruiting a Weekend RN Case Manager with experience in Transitional Care or Discharge Planning in an Acute Care Hospital SettingAs part of our Weekend...
-
Registered Nurse
6 days ago
Newburg, OR, United States TotalMed Case Management Staffing Full timePosition OverviewTotalMed Case Management Staffing is in search of a travel nurse RN specializing in Case Management.Job Details & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeksWork Schedule: 40 hours per weekShift: 8 hours, day shiftsEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse for an...
-
RN Case Manager
2 months ago
Wilmington, DE, United States ChristianaCare Full timeRN Case Manager - Day ShiftM-F (Hours: 8a-4:30p with call rotation every 7 weeks) No Holidays or Weekends!Newark, DE10K Sign-on Bonus! Christiana Care Hospital in Newark, DE is looking for a Registered Nurse (RN) Case Manager with experience in Discharge Planning in an Acute Care Hospital Setting.The RN Case Manager will be responsible for the coordination...
-
Legal Case Processing Specialist I
7 days ago
Wilmington, Delaware, United States DelDOT Full timeExciting Opportunity as a Judicial Case Processing Specialist at DelDOTPosition OverviewAs a Judicial Case Processing Specialist I at DelDOT, you will embark on a foundational journey in the legal field. This role involves gaining insights into judicial operations, executing processing tasks, and progressing within the organizational structure based on your...
-
Legal Case Processing Specialist I
6 days ago
Wilmington, Delaware, United States DelDOT Full timeExciting Opportunity as a Legal Case Processing Specialist at DelDOTPosition OverviewAs a Legal Case Processing Specialist I at DelDOT, you will embark on a foundational journey in the legal field. This role involves acquiring knowledge of judicial procedures, executing processing tasks, and progressing within the career framework based on your abilities and...
-
Case Manager
1 week ago
Daly City, CA, United States Camden Case Management Full timeThe case manager role for Camden Case Management is for an individual that is either an AMFT, MFT trainee or anyone looking to receive hours if needed towards licensure. This role is remote mainly and consists of working closely with a team of experienced mental health professionals who strive to help individuals recover from mh and/or sud.
-
Nurse Case Manager
1 week ago
Memphis, TN, United States ChenMed Full timeJob DescriptionWe’re unique. You should be, too.We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and...
-
Nurse Case Manager
1 week ago
Memphis, TN, United States ChenMed Full timeWe’re unique. You should be, too.We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...
-
Judicial Case Coordinator I
6 days ago
Wilmington, Delaware, United States DelDOT Full timeOverview This role involves overseeing the review and verification of financial documents submitted in the Guardianship and Trust under Will division of the Court. The primary responsibility is to ensure that all financial accountings are submitted punctually and are meticulously audited to confirm that all expenditures benefit the protected individual...
-
Case Manager-RN
2 months ago
Redlands, CA, United States Loma Linda University Full timeJob Summary: The RN-Case Manager is responsible for utilization management and inpatient care management in a telephonic and/or onsite care management position; performs reviews of inpatient and outpatient services to determine medical appropriateness following evaluation of medical guidelines and benefit determination; focuses on changing from...
