Area Manager overseeing ONLY Shops in Austria with responsibilities for staff management and operational excellence. Engaged in development, training, and sales activities in retail environment.
About the role
- Telephonic Nurse Case Manager responsible for managing telephonic care for members with chronic health needs. Working for Elevance Health to optimize health care across care continuum services.
Responsibilities
- responsible for telephonic care management within the scope of licensure for members with complex and chronic care needs
- assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum
- 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 as identified during assessment
- Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements
- 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 Physician Advisor's 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 a BA/BS in a health-related field
- 3 years of clinical experience
- Current, unrestricted RN license from the State of Georgia required
- Multistate licensure is required if this individual is providing services in multiple states
- Ability to talk and type at the same time
- Certification as a Case Manager preferred
- Experience with Microsoft Office and/or ability to learn new computer programs/systems/software quickly
- Ability to manage, review and respond to emails/instant messages in a timely fashion
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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