Nurse Case Manager I

4 weeks ago


Wilmington, North Carolina, United States Elevance Health Full time
Job Summary

We are seeking a skilled Nurse Case Manager I 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
  • Conduct thorough assessments to identify individual needs and develop personalized care plans to address objectives and goals.
  • Implement care plans by facilitating authorizations and referrals as necessary, and coordinating 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 to develop care management treatment plans.
  • Assist in problem-solving with providers, claims, or service issues.
Requirements
  • Requires a Bachelor's degree in a health-related field and a minimum of 3 years of clinical experience, or any combination of education and experience that would provide an equivalent background.
  • Current, unrestricted RN license from the state of Maryland is required.
Preferred Qualifications
  • Previous pediatric nursing experience is highly desirable for this role.
  • Previous experience as a case manager is strongly preferred.
  • Previous Medicaid and/or Managed Care experience is highly valued.
About Elevance Health

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.

We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. We also provide medical, dental, vision, short and long-term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources.

Elevance Health operates in a Hybrid Workforce Strategy, requiring associates to work at an Elevance Health location at least once per week, and potentially several times per week. 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 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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