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Senior Telephonic Nurse Case Manager
2 months ago
We are seeking a highly skilled Senior Telephonic Nurse Case Manager to join our team at Elevance Health. As a key member of our care management team, you will be responsible for providing comprehensive care management services to our members with complex and chronic care needs.
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 necessary, ensuring seamless coordination of internal and external resources.
- Monitor and evaluate the effectiveness of care plans, making adjustments as needed to optimize member health outcomes.
- Collaborate with Medical Directors and Physician Advisors to develop and implement care management treatment plans.
- Provide education and support to members, families, and caregivers to promote self-management and empowerment.
- Participate in departmental audit activities to ensure compliance with regulatory requirements and internal policies.
- Current, unrestricted RN license in applicable state(s) required.
- Minimum of 5 years of clinical experience, with a focus on case management and care coordination.
- Multi-state licensure required if providing services in multiple states.
- Preferred skills include certification as a Case Manager, experience with Microsoft Office, and ability to manage multiple priorities in a fast-paced environment.
At Elevance Health, we offer a comprehensive benefits package, including medical, dental, vision, and 401(k) + match. We also offer opportunities for professional growth and development, as well as a collaborative and supportive work environment.
We are an equal employment opportunity employer and welcome applications from diverse candidates. If you are a motivated and compassionate individual with a passion for delivering exceptional care, we encourage you to apply for this exciting opportunity.
