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Nurse Case Manager II

1 month ago


Latham, New York, United States Elevance Health Full time
Care Management Specialist

Elevance Health is seeking a skilled Care Management Specialist to join our team. As a key member of our care management team, you will be responsible for assessing, developing, implementing, and evaluating care plans for members with complex and chronic care needs.

Key Responsibilities:

  • Conduct thorough assessments to identify individual needs and develop tailored care plans.
  • Implement care plans by facilitating authorizations and referrals as needed.
  • Coordinate internal and external resources to meet identified needs.
  • Monitor and evaluate the effectiveness of care plans and make necessary modifications.
  • Collaborate with Medical Directors and Physician Advisors to develop care management treatment plans.

Requirements:

  • BA/BS in a health-related field and a minimum of 5 years of clinical experience.
  • Current, unrestricted RN license in applicable state(s) required.
  • Multi-state licensure is required if providing services in multiple states.

Preferred Skills:

  • Certification as a Case Manager is preferred.
  • Experience working in a virtual environment is a plus.

About Elevance Health:

Elevance Health is a health company dedicated to improving lives and communities. We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution.