Telephonic Nurse Case Manager II at Elevance Health, managing care for members with complex needs. Performing assessments and developing care plans to optimize health outcomes.
Responsibilities
Ensures member access to services appropriate to their health needs
Conducts assessments to identify individual needs
Develops specific care management plan
Implements care plan by facilitating authorizations/referrals
Coordinates internal and external resources to meet needs
Monitors and evaluates effectiveness of care management plan
Requirements
Requires a BA/BS in a health-related field
5 years of clinical experience
Current, unrestricted RN license in applicable state(s)
Multi-state licensure required if providing services in multiple states
Strong clinical background in an acute care hospital setting preferred
Prior telephonic Case Management experience with a Managed Care Company preferred
Certification as a Case Manager preferred
Ability to talk and type at the same time
Strong critical thinking skills
Experience with Microsoft Office and ability to learn new computer programs
Benefits
comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
medical, dental, vision, short and long term disability benefits
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