RN Case Manager
2 weeks ago
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the state of North Carolina.
Job Summary:
The RN Case Manager (LTSS Service Coordinator- RN) is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum.
Key Responsibilities:
- Perform telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.
- Identify members for high risk complications and coordinates care in conjunction with the member and the health care team.
- Manage members with chronic illnesses, co-morbidities, and/or disabilities, to insure 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, physicians; identifies members that would benefit from an alternative level of care or other waiver programs.
- The RN has overall responsibility to develop the care plan for services for the member and ensures the member's access to those services.
- May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through extra-contractual arrangements, as permissible.
- Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans.
- May also assist in problem solving with providers, claims or service issues.
- Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians' performance on a regular basis.
Requirements:
- Requires an RN and 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; or any combination of education and experience, which would provide an equivalent background.
- Current, unrestricted RN license in applicable state(s) required.
Preferred Skills, Capabilities and Experiences:
- MA/MS in Health/Nursing preferred.
- May require state-specified certification based on state law and/or contract preferred.
- Travels to worksite and other locations as necessary preferred.
- Experience working with older adults in care management, provider or other capacity, highly preferred.
- Experience managing a community and/or facility-based care management case load, highly 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.
Our Culture:
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
Benefits:
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.
Work Environment:
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. 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.
Equal Employment Opportunity:
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.
Accommodation:
Applicants who require accommodation to participate in the job application process may contact for assistance.
-
RN Case Manager
6 days ago
Fayetteville, North Carolina, United States UnitedHealth Group Full timeOptum Home & Community Care: A New Era in HealthcareAt UnitedHealth Group, we're revolutionizing the healthcare landscape by integrating industry-leading solutions to create a holistic care model. Our Senior Community Care (SCC) product is at the forefront of this innovation, providing comprehensive care to patients in their homes, nursing homes, and...
-
Case Manager II
6 days ago
Fayetteville, North Carolina, United States HealthSouth Full timeUnlock Your Potential as a Case Manager IIAt Encompass Health, we're committed to delivering exceptional care and compassion to our patients. As a Case Manager II, you'll play a vital role in coordinating patient care, managing resources, and overseeing interdisciplinary plan-of-care decisions.Key Responsibilities:Coordinate patient care from admission to...
-
Clinical Case Manager
4 weeks ago
Fayetteville, North Carolina, United States MGA Homecare Full timeJob Title: Clinical Case ManagerWe are seeking a highly qualified and compassionate Registered Nurse (RN) to join our dynamic team in a homecare setting. As a Clinical Case Manager, you will be responsible for conducting supervisor visits, comprehensive assessments, and various other homecare-related tasks to ensure the delivery of exceptional patient...
-
RN Case Manager Hospice Position
3 days ago
Fayetteville, North Carolina, United States LHC Group, Inc. Full timeAt LHC Group, Inc., we're seeking a compassionate and skilled Registered Nurse Case Manager to join our Hospice team. As a Hospice RN Case Manager, you'll play a vital role in delivering high-quality, patient-centered care to individuals and their families. Your expertise will be invaluable in developing and implementing personalized care plans, ensuring the...
-
Home Health RN Case Manager
4 weeks ago
Fayetteville, North Carolina, United States Enhabit Home Health & Hospice Full timeAbout the RoleWe are seeking a highly skilled Registered Nurse to join our team as a Home Health RN Case Manager. As a key member of our care team, you will be responsible for providing high-quality patient care and coordinating with healthcare professionals to ensure seamless transitions between care settings.ResponsibilitiesPerform home visits and complete...
-
Hospice Nurse Case Manager
4 weeks ago
Fayetteville, North Carolina, United States PruittHealth Full timeHospice Registered Nurse Case Manager (RN) - PRNHospice ServicesPruittHealth Hospice is committed to providing exceptional care to our patients and their families. As a Hospice Registered Nurse Case Manager, you will play a vital role in delivering compassionate and personalized care to our patients in their homes or care facilities.Responsibilities:Complete...
-
Hospice Nurse Case Manager
4 weeks ago
Fayetteville, North Carolina, United States PruittHealth Full timeHospice Registered Nurse Case Manager (RN) - PRNHospice ServicesPruittHealth Hospice is committed to providing exceptional care to our patients and their families. As a Hospice Registered Nurse Case Manager, you will play a vital role in delivering compassionate and high-quality care in the patient's home or care facility.Responsibilities:Complete...
-
Legal Case Manager
20 hours ago
Fayetteville, North Carolina, United States Lunn Law LLC Full timeJob Title: Legal Case ManagerWe are seeking a highly organized and self-motivated Legal Case Manager to join our team at Lunn Law LLC. The ideal candidate will have 3-5 years of experience managing family law cases from beginning to end and be proficient in case management software.Responsibilities:Manage and update case files and information in accordance...
-
RN Case Manager
3 weeks ago
Fayetteville, North Carolina, United States UnitedHealth Group Full timeOptum Home & Community Care: A New Era in HealthcareAt Optum Home & Community Care, we're revolutionizing the way healthcare is delivered. Our integrated care model addresses the physical, mental, and social needs of individuals, providing seamless access to care anytime and anywhere.Role OverviewAs a Long-term Care Registered Nurse, you'll be part of our...
-
Hospice RN Case Manager
3 days ago
Fayetteville, North Carolina, United States Ennoble Care Full timeAbout UsEnnoble Care is a leading provider of mobile primary care, palliative care, and hospice services, serving patients in multiple states.Our team of clinicians delivers high-quality care to patients in the comfort of their own homes, providing a continuum of care for those with chronic conditions and limited mobility.We offer a range of programs,...
-
Hospice Nurse Case Manager
2 weeks ago
Fayetteville, North Carolina, United States PruittHealth Full timeHospice Registered Nurse Case ManagerMake a Difference in Hospice CarePruittHealth Hospice is seeking a compassionate and skilled Registered Nurse to join our team as a Hospice Case Manager. As a member of our team, you will have the opportunity to provide high-quality care to patients and their families in a unique and rewarding...
-
Hospice Nurse Case Manager
2 days ago
Fayetteville, North Carolina, United States Ennoble Care Full timeAbout the Role:Ennoble Care is seeking a skilled RN Case Manager to join our interdisciplinary team in providing high-quality care to patients and their loved ones in the Fayetteville, GA area.The ideal candidate will possess a current license to practice as a registered nurse in the State of GA, with at least 1-2 years of work experience as a professional...
-
Hospice Nurse Case Manager
3 weeks ago
Fayetteville, North Carolina, United States FC Compassus LLC Full timeJoin Our Team as a Hospice Registered Nurse Case ManagerAt Compassus, we prioritize the well-being of our team members, recognizing that their care is essential to delivering exceptional patient care. We strive to create a supportive environment that balances work and life, offering flexible scheduling, a family-focused culture, and competitive compensation...
-
Hospice Nurse Case Manager
3 weeks ago
Fayetteville, North Carolina, United States Compassus Full timeJoin Compassus as a Hospice Registered Nurse / RN Case ManagerWe are committed to providing care that is tailored to the unique needs of each patient and their family. As a Hospice Registered Nurse / RN Case Manager, you will play a vital role in delivering compassionate and high-quality care to our patients.Your BenefitsCompetitive Pay: Enjoy a competitive...
-
Hospice Registered Nurse Case Manager
3 weeks ago
Fayetteville, North Carolina, United States FC Compassus LLC Full timeJoin Our Team as a Hospice Registered Nurse Case ManagerAt Compassus, we are committed to providing exceptional care to our patients and their families. As a Hospice Registered Nurse Case Manager, you will play a vital role in enabling patients to spend quality time with their loved ones and doing the activities they enjoy.Key Responsibilities:Build trusting...
-
Case Manager, Clinical Services
4 weeks ago
Fayetteville, North Carolina, United States Centerstone Full timeJob Title: Case Manager, Clinical ServicesCenterstone is a leading nonprofit behavioral health system dedicated to delivering care that changes people's lives. We are seeking a skilled Case Manager, Clinical Services to join our team.Job Summary:This is an exciting opportunity to make a difference in the lives of individuals coping with mental health issues....
-
Chronic Disease Case Manager
2 hours ago
Fayetteville, North Carolina, United States ARcare Inc Full timeJob SummaryThe Chronic Disease Case Manager provides comprehensive care and support to patients with chronic diseases, working closely with healthcare providers and other stakeholders to ensure seamless transitions of care and optimal patient outcomes.Key ResponsibilitiesDevelop and implement individualized care plans for patients with chronic...
-
SSVF Carolinas Case Manager
4 days ago
Fayetteville, North Carolina, United States Volunteers of America Chesapeake and Carolinas Full timeJob Title:Case Manager for VeteransJob Summary:Volunteers of America Chesapeake and Carolinas is seeking a skilled Case Manager for Veterans to provide day-to-day support and services for participating veteran households. The ideal candidate will have relevant experience in homelessness prevention, rapid re-housing, and transitional supportive...
-
SSVF Carolinas Case Manager
2 days ago
Fayetteville, North Carolina, United States Volunteers of America Chesapeake and Carolinas Full timeJob Title: Case ManagerVolunteers of America Chesapeake and Carolinas is seeking a skilled Case Manager to join our team. As a Case Manager, you will provide day-to-day support and services for participating veteran households, working closely with clients to address their housing, employment, family, social support, and life-skill...
-
Home Health RN
4 weeks ago
Fayetteville, North Carolina, United States Enhabit Home Health & Hospice Full timeAbout Enhabit Home Health & HospiceWe are a national leader in home-based care, consistently ranked as one of the best places to work in the country. Our mission is to expand what's possible for patient care in the home, while fostering a unique culture that is both innovative and collaborative.Job SummaryWe are seeking a Registered Nurse (RN) Case Manager...
