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RN Care Manager
2 months ago
We are seeking a highly skilled RN Care Manager to join our team at Elevance Health. As a RN Care Manager, you will be responsible for the overall management of members' cases within the scope of licensure.
Key Responsibilities- Perform telephonic or face-to-face clinical assessments to identify, evaluate, coordinate, and manage members' needs, including physical health, behavioral health, social services, and long-term services and supports.
- Identify members at high risk for complications and coordinate care with the member and healthcare team.
- Manage members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits.
- Obtain a thorough and accurate member history to develop an individual care plan.
- Establish short- and long-term goals in collaboration with the member, caregivers, family, natural supports, and physicians.
- Develop and implement member care plans to ensure access to necessary services.
- Interface with Medical Directors, Physician Advisors, and Inter-Disciplinary Teams to develop care management treatment plans.
- Supervise and direct the work of non-RN clinicians, including LPNs, LVNs, LSWs, LCSWs, LMSWs, and other licensed professionals.
- Current, unrestricted RN license in applicable state(s) required.
- Minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role.
- Bilingual (English/Spanish) is preferred.
- State-specified certification may be required based on state law and/or contract.
Elevance Health is a health company dedicated to improving lives and communities. 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.
