Senior Nurse Care Manager
2 weeks ago
Job Summary:
The Senior Nurse Care Manager is a key member of our healthcare team, responsible for collaborating with healthcare providers and consumers to drive personalized health management and improve health outcomes for our members. This role requires a strong clinical background and excellent communication skills to ensure high-quality, cost-effective care for our members.
Key Responsibilities:
- Collaborate with healthcare providers and consumers to develop and implement personalized care plans that meet the unique needs of each member.
- Conduct thorough assessments of member needs and develop comprehensive care plans that address medical, social, and environmental factors.
- Partner with healthcare providers to ensure timely and effective care coordination, including referrals to specialists and other healthcare services.
- Monitor and evaluate the effectiveness of care plans, making adjustments as needed to ensure optimal health outcomes.
- Provide education and support to members and their families to promote self-management and empowerment.
- Collaborate with internal stakeholders to develop and implement care management policies and procedures.
- Participate in quality improvement initiatives to enhance the overall quality of care and services provided to members.
Requirements:
- Current, active, and unrestricted RN license in applicable state(s) required.
- Minimum of 5 years of acute care clinical experience, with a strong background in case management and disease management.
- Experience working with complex and chronic care populations, with a focus on improving health outcomes and reducing healthcare costs.
- Strong communication and interpersonal skills, with the ability to work effectively with diverse stakeholders, including healthcare providers, consumers, and internal teams.
- Ability to work in a fast-paced environment, with a focus on meeting deadlines and delivering high-quality results.
- Knowledge of medical management processes and ability to interpret and apply member contracts, member benefits, and managed care products.
What We Offer:
Elevance Health offers a comprehensive benefits package, including medical, dental, vision, and 401(k) + match. We also offer a range of incentive and recognition programs, as well as opportunities for professional growth and development. Our company is committed to creating a culture that values diversity, equity, and inclusion, and we strive to create a workplace that is welcoming and inclusive for all associates.
How to Apply:
If you are a motivated and compassionate nurse with a passion for improving health outcomes, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter, and we will be in touch to discuss your qualifications further.
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