RN Transplant Case Manager II
4 weeks ago
We are seeking a highly skilled RN Transplant Case Manager II to join our team at Elevance Health. As a key member of our case management team, you will be responsible for providing comprehensive care management and medical management services to members receiving transplant services.
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 needed, ensuring compliance with benefits and managed care products.
- Coordinate internal and external resources to meet identified needs, promoting quality member outcomes and effective use of resources.
- Monitor and evaluate the effectiveness of care management plans, making modifications as necessary.
- Collaborate with healthcare providers and members to promote quality member outcomes, optimize member benefits, and promote effective use of resources for complex medical transplant issues.
- Ensure medically appropriate, high-quality, cost-effective care through assessing medical necessity, interpreting benefits and managed care products, and steering members to appropriate providers and resources.
- AS in nursing and a minimum of 3 years of clinical experience, or any combination of education and experience that provides an equivalent background.
- Current unrestricted RN license in applicable state(s) required.
- Ability to interpret and apply member contracts, member benefits, and managed care products.
- Previous transplant experience is highly desirable, as is previous ICU, Med/Surg, and ER experience.
- Certification as a Case Manager is preferred.
At Elevance Health, we offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. We also offer medical, dental, vision, short and long-term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources.
We operate in a Hybrid Workforce Strategy, with associates required to work at an Elevance Health location at least once 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.
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.
-
RN Case Manager
1 month ago
Mason City, United States St Croix Hospice Full timeRN Case Manager Job Details Job Location Mason City IA - Mason City, IA Position Type Full Time Travel Percentage 100% Description Hospice care is the place for nurses looking for the autonomy to spend time with their patients, manage their own care plans and lead an interdisciplinary team. At St. Croix Hospice you will join a culture focused solely on...
-
RN Homecare Field Case Manager
4 weeks ago
Mason, Ohio, United States Patriot At Home Full timeJob OverviewPatriot At Home is seeking a skilled and compassionate RN Homecare Field Case Manager to join our team. As a key member of our homecare team, you will play a vital role in delivering high-quality patient care and support to our clients.ResponsibilitiesCoordinate total patient care, evaluating the effectiveness of nursing services and making...
-
RN Case Manager
4 weeks ago
Mason City, Iowa, United States St Croix Hospice Full timeAt St. Croix Hospice, we're dedicated to providing the best end-of-life experience for patients and their loved ones. As a Registered Nurse Case Manager, you'll play a vital role in leading our interdisciplinary team and managing patient care plans. With our competitive pay and benefits, including insurance, disability, and life insurance, you'll have the...
-
Hospice Case Manager
3 weeks ago
Mason, Ohio, United States Queen City Hospice Full timeJob SummaryQueen City Hospice is committed to delivering exceptional hospice care to patients and families in Central Ohio. As a Hospice RN Case Manager, you will play a vital role in ensuring the highest quality of care for our patients.Key Responsibilities:Assess patient needs and develop individualized care plansCoordinate with the interdisciplinary team...
-
Case Manager, TFC
4 weeks ago
Mason, United States Bethany Full timeJob SummaryBethany is seeking a skilled Case Manager to join our Refugee and Immigrant Services team. As a UC Transitional Foster Care Case Manager, you will provide critical support to children in foster care, foster families, and biological families. This role requires a strong understanding of child welfare and case management principles, as well as...
-
Registered Nurse
4 months ago
Mason City, United States St Croix Hospice Full timeRegistered Nurse (RN) Case Manager Job Details Level Experienced Job Location Mason City IA - Mason City, IA Position Type Full Time Education Level 2 Year Degree Travel Percentage 100% Job Shift Day Job Category Nurse TheRegistered Nurse Case Managerplans, organizes and directs hospice care and is experienced in nursing, with emphasis on...
-
Disability Case Manager Specialist
4 weeks ago
Mason, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled LOA/Disability Case Manager Specialist to join our team at Elevance Health. In this role, you will be responsible for coordinating the administration of Short-term Disability and FMLA plans, providing timely and thorough reviews of claims, and making professional determinations.Key ResponsibilitiesManage the...
-
Disability Case Manager Specialist
4 weeks ago
Mason, Ohio, United States Elevance Health Full timeJob Title: LOA/Disability Case Manager SpecialistElevance Health is seeking a highly skilled LOA/Disability Case Manager Specialist to join our team. This role will be responsible for coordinating the administration of Short-term Disability and FMLA plans.Key Responsibilities:Provides timely and thorough review of Short-term Disability, FMLA, and ADA claims...
-
Disability Case Manager Specialist
3 weeks ago
Mason, Ohio, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Disability Case Manager Specialist to join our team at Elevance Health. As a key member of our workforce management team, you will be responsible for coordinating the administration of Short-term Disability and FMLA plans.Key ResponsibilitiesProvide timely and thorough reviews of Short-term Disability, FMLA, and ADA...
-
Nurse Case Manager
4 weeks ago
Mason City, Iowa, United States St Croix Hospice Full timeJob Title: Registered Nurse Case ManagerAt St Croix Hospice, we are seeking a skilled Registered Nurse Case Manager to join our team. As a Registered Nurse Case Manager, you will be responsible for planning, organizing, and directing hospice care for our patients.Key Responsibilities:Completes comprehensive assessments of patients and families to determine...
-
Nurse Case Manager
4 weeks ago
Mason City, Iowa, United States St Croix Hospice Full timeJob Title: Registered Nurse - Case ManagerAt St Croix Hospice, we are seeking a compassionate and skilled Registered Nurse to join our team as a Case Manager. As a key member of our interdisciplinary team, you will play a vital role in providing high-quality care to our patients and their families.Job Summary:The Registered Nurse Case Manager is responsible...
-
RN - Patient Placement Case Manager - Part Time
3 weeks ago
Mason City, Iowa, United States Trinity Health Full timeJob SummaryThe Patient Placement Case Manager is a vital role at Trinity Health, responsible for coordinating the placement of all admissions (elective and emergent) and transfers to Mercy Medical Center-North Iowa (MMC-NI) in accordance with clinical standards and guidelines.This position requires strong communication and teamwork skills, as the Patient...
-
LOA/Disability Case Manager Specialist
3 weeks ago
Mason, Ohio, United States Elevance Health Full timeJob Summary:The LOA/Disability Case Manager Specialist will be responsible for coordinating the administration of Short-term Disability and FMLA plans. This role will work closely with medical providers, LOA clinic resources, managers, and Local HR to determine return to work expectations and facilitate the return to work process.Key...
-
Accounting Specialist II
3 weeks ago
Mason, Ohio, United States JBS USA Holdings, Inc. Full timeJob Title: Accounting Specialist IIAt JBS USA Holdings, Inc., we are seeking a highly skilled Accounting Specialist II to join our team. As an Accounting Specialist II, you will play a critical role in helping us process, track, and research invoices in an efficient, accurate, and timely manner.Key Responsibilities:• Process and research non-PO invoices to...
-
Hospice RN Case Manager
4 weeks ago
Mason, United States Ambercare Full timeJob Summary:We are seeking a compassionate and skilled Registered Nurse to join our Hospice team as a Case Manager. As a key member of our interdisciplinary team, you will be responsible for providing high-quality patient care and support to patients and their families in their homes.Responsibilities:* Provide comprehensive patient assessments and develop...
-
Financial Analyst II
4 weeks ago
Mason, Ohio, United States Horiba Instruments Full timeJob Title: Financial Analyst IIJob Summary:HORIBA Instruments is seeking an experienced Financial Analyst II to join our team in Canton, MI or Piscataway, NJ. The successful candidate will be responsible for analyzing financial data, identifying trends, and providing recommendations to improve financial performance.Key Responsibilities:Conduct financial...
-
Patient Placement Case Manager/Part-time
4 weeks ago
Mason City, Iowa, United States Trinity Health Full timeJob Summary:The Patient Placement Case Manager is responsible for coordinating the placement of all admissions (elective and emergent) and transfers to MMC-NI in accordance with clinical standards and guidelines. This role will coordinate, prioritize, and optimize patient flow throughout the MMC-NI network, as well as coordinate and facilitate patient entry...
-
Claims Representative I/II
4 weeks ago
Mason, United States Elevance Health Full timeJob Title: Claims Representative I/IIElevance Health is seeking a Claims Representative I/II to join our team. As a Claims Representative, you will be responsible for successfully completing the required basic training and performing basic job functions with the help of co-workers, specialists, and managers on non-basic issues.Key Responsibilities:Codes and...
-
Maintenance Technician II
3 weeks ago
Mason, United States Great Wolf Lodge Full timeJob Summary:The Maintenance Technician II is responsible for overseeing the day-to-day engineering operations in the lodge. This includes project management, general life safety, ordering, and working with vendors. The successful candidate will be responsible for completing preventative maintenance and repairs throughout the hotel guestrooms, public spaces,...
-
Licensed Utilization Review Nurse II
4 weeks ago
Mason, Ohio, United States Elevance Health Full timeJob SummaryThis role is responsible for working with healthcare providers to ensure appropriate and consistent administration of plan benefits. The Licensed Utilization Review Nurse II will collect clinical information required to preauthorize services, assess medical necessity, out of network services, and appropriateness of treatment setting. They will...