Nurse Case Manager I responsible for care management of members with chronic health needs. Work remotely with required in-person training sessions and collaboration with medical directors.
Responsibilities
Perform care management within scope of licensure for members with complex and chronic care needs
Assess, develop, implement, coordinate, monitor, and evaluate care plans
Ensure member access to services appropriate to their health needs
Conduct assessments to identify individual needs and care management plan
Requirements
Requires BA/BS in a health related field
Minimum of 3 years of clinical experience
Current, unrestricted RN license in applicable state(s)
Multi-state licensure if providing services in multiple states
Strategic Engagement Manager overseeing relationships for high - value accounts in healthcare solutions. Developing strategies to drive growth and improve client retention within Zelis.
Behavioral Health Care Manager I managing neurodevelopmental and psychiatric disorders at Elevance Health. Providing flexible virtual full - time care management and ensuring access to quality behavioral healthcare.
LTSS Service Coordinator responsible for managing service coordination for individuals with health care needs. Conducting assessments and facilitating person - centered planning in specialized programs.
LTSS Service Coordinator facilitating service coordination for individuals in specialized programs. Conducting assessments and managing physical and behavioral health needs in Florida communities.
LTSS Service Coordinator responsible for assessments and coordinating care for individuals with specialized programs. Engaging with members and their support systems while working primarily in the field.
LTSS Service Coordinator handling service coordination for specialized programs. Conducting assessments and developing Person Centered Support Plans while engaging with individuals and their support teams.
LTSS Service Coordinator overseeing service coordination for individuals in specialized programs at Elevance Health. Engaging with clients and support networks, ensuring care management and compliance with requirements.
LTSS Service Coordinator responsible for service coordination for individuals in specialized programs. Conducting assessments and supporting the development of integrated care plans based in Florida.
Payor Contract Manager managing payor contracts for Elevance Health's infusion services. Ensuring compliance and optimization of reimbursement across commercial and government payors in a hybrid work setting.
Payor Contract Manager managing contracts for specialty pharmacy, overseeing compliance and reimbursement methodologies, and supporting internal teams. Requires a bachelor’s degree and 5 years of experience in managed care.