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Complex Care Manager

2 months ago

Chicago, Illinois, United States Elevance Health Full time
About the Role

We are seeking a skilled and compassionate Nurse Case Manager II to join our team at Elevance Health. As a Telephonic Nurse Case Manager, you will play a critical role in delivering high-quality care to our members with complex and chronic care needs.

Key Responsibilities
  • Assess and Develop Care Plans: Conduct thorough assessments to identify individual needs and develop personalized care plans to address objectives and goals.
  • Coordinate Care Services: Facilitate authorizations and referrals as needed to ensure seamless access to services and resources.
  • Monitor and Evaluate Care Plans: Regularly monitor and evaluate the effectiveness of care plans, making adjustments as necessary to optimize member outcomes.
  • Collaborate with Healthcare Professionals: Interface with Medical Directors and Physician Advisors to develop and implement care management treatment plans.
  • Problem-Solving and Communication: Effectively communicate with members, providers, and internal stakeholders to resolve issues and address concerns.
Requirements
  • Education and Experience: Bachelor's degree in a health-related field or equivalent experience; 5 years of clinical experience or any combination of education and experience that provides an equivalent background.
  • Licensure and Certification: Current, unrestricted RN license in applicable state(s); Multi-state licensure required for services in multiple states.
  • Skills and Abilities: Strong critical thinking and problem-solving skills; ability to work in a fast-paced environment; excellent communication and interpersonal skills.
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, committed to making healthcare simpler and more accessible.