Nurse Case Manager
3 weeks ago
We 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 management services to our members with complex and chronic care needs.
Key Responsibilities- Assess, develop, implement, and evaluate care plans to optimize member health care across the care continuum.
- Conduct thorough assessments to identify individual needs and develop specific care management plans to address objectives and goals.
- Implement care plans by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
- 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 the development of care management treatment plans.
- Negotiate rates of reimbursement, as applicable.
- Assist in problem-solving with providers, claims, or service issues.
- 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 the state of Nevada required.
- Certification as a Case Manager is preferred.
We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. Our salary range for this position is $67,116 to $100,674, depending on location and experience.
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.
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