Nurse Case Manager I OB Position

7 days ago


St Louis, Missouri, United States Elevance Health Full time
Job Summary

Elevance Health is seeking a skilled Nurse Case Manager I OB to join our team. 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
  • Assess and develop individualized care plans to address the unique needs and goals of our members.
  • Implement and coordinate care plans through collaboration with internal and external resources, including healthcare providers and community organizations.
  • Monitor and evaluate the effectiveness of care plans, making adjustments as necessary to ensure optimal outcomes.
  • Interface with Medical Directors and Physician Advisors to develop and implement care management treatment plans.
  • Negotiate rates of reimbursement and assist with problem-solving related to 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 provides an equivalent background.
  • Current, unrestricted RN license in applicable state(s) is required.
  • Multi-state licensure is required if providing services in multiple states.
Preferred Qualifications
  • Certification as a Case Manager is preferred.
  • BS in a health or human services related field is preferred.
  • Experience in OB is preferred.
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. 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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