RN Case Manager

4 weeks ago


Raleigh, North Carolina, United States Elevance Health Full time

About the Role:

The RN Case Manager - Service Coordinator is responsible for the overall management of member's case within the scope of licensure. This includes providing supervision and direction to non-RN clinicians participating in the member's case, developing, monitoring, evaluating, and revising the member's care plan to meet the member's needs.

Key Responsibilities:

  • Perform telephonic or face-to-face clinical assessments for the identification, evaluation, coordination, and management of member's needs.
  • Identify members for high-risk complications and coordinate care in conjunction with the member and the healthcare team.
  • Manage members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits.
  • Obtain a thorough and accurate member history to develop an individual care plan.
  • Establish short and long-term goals in collaboration with the member, caregivers, family, natural supports, physicians, and identify members that would benefit from an alternative level of care or other waiver programs.

Requirements:

  • Requires an RN and a minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role.
  • Current, unrestricted RN license in applicable state(s) required.

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.


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