North America Region Manager responsible for driving market growth and establishing presence at a biotech company. Leading regional expansion efforts in the North American market.
About the role
- 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
- paid holidays
- paid time off
- merit increases
- wellness programs
- financial education resources
Job title
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Experience level
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Degree requirement
Location requirements
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