Care Manager Specialist
3 weeks ago
**Job Summary:** We are seeking a highly skilled Care Manager Specialist to join our team at Elevance Health. This individual will play a crucial role in managing care for members with complex and chronic needs.
Key Responsibilities:
- Facilitate access to services that cater to the unique health needs of our members.
- Conduct thorough assessments to identify individual needs and develop tailored care plans.
- Navigate authorizations and referrals within our benefits structure to implement care plans.
- Collaborate with internal and external resources to meet identified needs.
- Evaluate the effectiveness of care management plans and make necessary adjustments.
- Work closely with Medical Directors and Physician Advisors to ensure alignment with care management treatment plans.
- Engage in rate negotiation for reimbursement.
- Support problem-solving and policy development for care management initiatives.
Requirements:
- A Bachelor's degree in a healthcare-related field, coupled with a minimum of 5 years of clinical experience.
- An active, unrestricted RN license in the applicable state(s) is mandatory.
Estimated Salary Range:** $65,000 - $85,000 per annum, depending on location and experience.
Benefits: We offer a comprehensive package, including market-competitive compensation, paid holidays, medical, dental, vision, disability benefits, and a 401(k) + match. As an Equal Employment Opportunity employer, we welcome applicants from diverse backgrounds.
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