Nurse Case Manager I

4 weeks ago


Tampa, Florida, United States Elevance Health Full time

Job Summary:

The Nurse Case Manager I is a critical role within Elevance Health, responsible for delivering high-quality care management services to members with complex and chronic care needs. This position requires a skilled and compassionate RN to assess, develop, implement, coordinate, monitor, and evaluate care plans that optimize member healthcare across the care continuum.

Key Responsibilities:

  • Conduct thorough assessments to identify individual member needs and develop tailored care management plans.
  • 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 member 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.
  • Assist in problem-solving with providers, claims, or service issues.

Requirements:
  • 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 applicable state(s) required.
  • Multi-state licensure is required if this individual is providing services in multiple states.

Preferred Skills:
  • Certification as a Case Manager is preferred.
  • Oncology or home care experience preferred.

About Elevance Health:

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. 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.

Why Join Us:

At Elevance Health, we offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long-term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources, to name a few. We operate in a Hybrid Workforce Strategy, and specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
  • Nurse Case Manager I

    4 weeks ago


    Tampa, Florida, United States Elevance Health Full time

    About the Role:The Nurse Case Manager I is a key member of our care management team, responsible for assessing, developing, implementing, coordinating, monitoring, and evaluating care plans for members with complex and chronic care needs.Key Responsibilities:Conduct thorough assessments to identify individual needs and develop specific care management plans...


  • Tampa, Florida, United States CorVel Corporation Full time

    As a Telephonic Case Manager I at CorVel Corporation, you will play a vital role in coordinating resources and creating flexible, cost-effective options for individuals with medical needs. Your expertise will be relied upon to evaluate treatment plans for medical appropriateness, ensuring that patients receive the best possible care. You will work closely...

  • Nurse Case Manager I

    4 weeks ago


    Tampa, Florida, United States Elevance Health Full time

    Job SummaryWe are seeking a skilled and compassionate Nurse Case Manager 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, develop, implement, coordinate, monitor, and evaluate care plans to...

  • Nurse Case Manager

    4 weeks ago


    Tampa, Florida, United States CenterWell Home Health Full time

    As a skilled nursing professional with CenterWell Home Health, you will provide high-quality care to home health patients, develop and implement individualized care plans, and collaborate with physicians and healthcare teams to ensure seamless patient care. Your expertise in nursing and case management will enable you to coordinate care with healthcare...

  • Nurse Case Manager

    4 weeks ago


    Tampa, Florida, United States Paradigm Full time

    About ParadigmParadigm is a leading accountable specialty care management organization dedicated to improving the lives of individuals with complex injuries and diagnoses.Job SummaryWe are seeking a highly skilled and compassionate Field Nurse Case Manager to join our team in Sarasota, FL. As a Field Case Manager, you will be responsible for the medical case...

  • RN Case Manager

    4 weeks ago


    Tampa, Florida, United States Gulfstream Staffing, Inc. Full time

    Gulfstream Staffing, Inc. Partners with Home Care OrganizationWe are seeking a skilled RN Case Manager to join our team at a medicare-certified Home Care organization in Indian River County. This is a full-time opportunity that requires strong case management experience and a working knowledge of home care.Key Responsibilities:Assess and provide skilled care...

  • Case Manager

    4 weeks ago


    Tampa, Florida, United States TrueCore Behavioral Solutions Full time

    Job Title: Case ManagerJob Summary: We are seeking a skilled Case Manager to join our team at TrueCore Behavioral Solutions. As a Case Manager, you will be responsible for coordinating youth designated caseloads, ensuring compliance with Department of Juvenile Justice regulations, and providing monthly progress updates to the Department of Juvenile Justice...

  • Case Manager

    3 weeks ago


    Tampa, Florida, United States AMIKids Tampa, Inc. Full time

    Job Title: Case ManagerJob Summary:We are seeking a skilled Case Manager to oversee the service planning and transitional process for youth entering and exiting our program. As a Case Manager, you will be responsible for developing individualized plans for each youth, monitoring progress, and ensuring effective implementation.Key Responsibilities:Conduct...

  • Case Manager

    4 weeks ago


    Tampa, Florida, United States GEO Reentry Services LLC. Full time

    Job SummaryWe are seeking a highly motivated and organized Case Manager to join our team at GEO Reentry Services LLC. The successful candidate will provide support and structure to residents in developing program plans, managing a caseload of client cases, and administering policies and procedures as directed by the contracting agency and the Facility...

  • Case Manager

    3 weeks ago


    Tampa, Florida, United States The GEO Group, Inc. Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Case Manager to join our team at The GEO Group, Inc. As a Case Manager, you will play a critical role in supporting residents in their reentry journey by providing guidance, resources, and support to help them achieve their goals.Key ResponsibilitiesManage a caseload of client cases and...

  • Case Manager

    3 weeks ago


    Tampa, Florida, United States AMIkids Full time

    Empowering Young People to Discover Their True PotentialAt AMIkids, we're committed to transforming lives through education, workforce development, treatment, and behavioral and skills training. We're seeking a dedicated Case Manager to oversee the service planning and transitional process for youth entering and exiting our program.Key...

  • Lead Case Manager

    4 weeks ago


    Tampa, Florida, United States Moffitt Cancer Center Full time

    Job SummaryMoffitt Cancer Center seeks a skilled Case Management Professional to join our team. As a key member of our case management team, you will provide clinical expertise and support to ensure seamless patient care and efficient department operations.Key ResponsibilitiesAssist in daily oversight of the case management departmentProvide support in staff...

  • RN Case Manager

    4 weeks ago


    Tampa, Florida, United States AMN Healthcare Full time

    Job DetailsJob Title: RN Case ManagerJob Summary:We are seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for utilization review and discharge planning. This is a 13-week assignment with a 40-hour workweek, working days.Responsibilities:Utilization review and discharge planningCollaboration with healthcare...


  • Tampa, Florida, United States White & Case Full time

    Job SummaryThe Technology Project Manager is responsible for the overall direction, coordination, and execution of technology projects. This includes ensuring projects are aligned with the Firm's strategy, commitments, and goals. The successful candidate will have a strong understanding of project management methodologies and techniques, as well as excellent...

  • Case Manager

    3 weeks ago


    Tampa, Florida, United States Tampa Bay Academy of Hope Full time

    Job OverviewThe Tampa Bay Academy of Hope is seeking a dedicated Case Manager to join our team in supporting the reintegration of veterans into the community. As a key member of our 2nd Chance Heroes Program, you will play a vital role in providing ongoing support and guidance to veterans as they navigate their journey from incarceration to successful...


  • Tampa, Florida, United States Xylem I LLC Full time

    Job DescriptionAt Xylem I LLC, we are seeking a highly skilled Safety Supervisor to join our team. The successful candidate will be responsible for overseeing and improving the performance and productivity of our crews, ensuring a safe working environment for all employees.Key Responsibilities:Counsels and coaches General Foreman to ensure job expectations...


  • Tampa, Florida, United States HealthCare Support Full time

    Pediatric RN Case Manager Job DescriptionWe are seeking a skilled Pediatric RN Case Manager to join our team at HealthCare Support. As a Pediatric RN Case Manager, you will be responsible for performing care management duties to assess, plan, and coordinate medical and supporting services for pediatric patients.Daily Responsibilities:Assess, plan, and...


  • Tampa, Florida, United States Hillsborough County Full time

    Job OverviewHillsborough County is seeking a highly skilled and dedicated Bilingual Case Manager to join our team. As a key member of our social services team, you will be responsible for collecting and analyzing socio-economic information, arranging comprehensive plans to deliver social service programs, and promoting self-sufficiency of eligible...

  • Healthcare Navigator

    3 weeks ago


    Tampa, Florida, United States BayCare Health System Full time

    Job Summary:As a Hospital Care Coordinator- RN Case Management at BayCare Health System, you will play a vital role in promoting quality, cost-effective outcomes for our patients. With a clear understanding of available resources, you will provide linkage, monitoring, planning, and advocacy to achieve maximum functioning.Responsibilities: Possess a clear...


  • Tampa, Florida, United States Pyramid Consulting Full time

    **Job Title:** Pediatric Case Manager**Job Summary:** We are seeking a skilled Pediatric Case Manager to join our team at Pyramid Consulting, Inc. The ideal candidate will have a strong background in healthcare and experience working with pediatric populations.**Key Responsibilities:**Connect members to local resources for various services, such as...