Team Manager leading services for adults with mental health and substance use disorders at GCBHS. Overseeing team operations and ensuring quality service provision.
About the role
- Telephonic Nurse Case Manager II working virtually for Elevance Health. Focused on care management for members with complex chronic care needs through assessments, coordination, and monitoring.
Responsibilities
- Ensures member access to services appropriate to their health needs
- Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals
- Assists in facilitating authorizations/referrals as appropriate within benefits structure
- Coordinates internal and external resources to meet identified needs
- Monitors and evaluates effectiveness of the care management plan and modifies as necessary
- Interfaces with Medical Directors and other Health Professionals on the development of care management treatment plans
- Assists in problem solving with providers, claims or service issues
- Assists with development of utilization/care management policies and procedures
Requirements
- Requires BS in a health-related field and minimum of 5 years of nursing clinical experience
- Current, unrestricted RN license is required
- Multi-state licensure will be required
- Experience with Microsoft Office suite preferred
- Ability to talk and type at the same time preferred
- Background in an acute care setting preferred
- Telephonic and/or virtual nursing experience preferred
- Managed Care experience preferred
- Certification as a Case Manager preferred
- Minimum 2 years’ experience in acute care setting
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Paid Time Off
- Paid holidays
- Merit increases
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long-term disability benefits
- Wellness programs
- Financial education resources
Job title
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Experience level
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Degree requirement
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