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.
About the role
- CAP Case Manager with HealthKeeperz, Inc. providing critical support for individuals in the Community Alternatives Program. Conducting assessments and coordinating care for clients in the community.
Responsibilities
- Conduct initial screenings and assessments of patients and families
- Identify social service needs and connect patients to appropriate community resources
- Evaluate eligibility, needs, and support systems
- Develop and update individualized care plans that promote patient health and safety
- Educate patients and families on care plans and available service options
- Initiate referrals and provide counseling to support family and caregiver well-being
- Coordinate care with interdisciplinary team members and external providers
- Perform regular follow-ups through home visits and phone check-ins
- Monitor and document care effectiveness and adjust plans as needed
- Provide monthly case management and attend interagency conferences as appropriate
- Maintain accurate, timely records per agency policy and CAP guidelines
- Document patient status, changes in condition, and care outcomes
- Complete discharge summaries and ensure all documentation is current in E-CAP
- Review aide documentation, recertifications, and billing codes for compliance
Requirements
- Working knowledge of basic social work principles, techniques, and practices
- Knowledge of governmental and private organizations and resources in the community
- Strong organizational, communication, listening, and assessment skills
- Ability to travel as needed to other office locations
- Bachelor’s degree in social work from an accredited school of social work and one (1) year of directly related community experience (preferably case management) in the health or medical field directly related to home care, long-term care, or personal care
- The completion of an NC Medicaid certified training program within 90 calendar days of employment; OR
- Bachelor’s degree in a human services or equivalent field from an accredited college or university with two or more years of community experience (preferably case management) in the health or medical field directly related to home care, long-term care, or personal care and the completion of an NC Medicaid certified training program within 90 calendar days; OR
- Bachelor’s degree in a non-human services field from an accredited college or university with two or more years of community experience (preferably case management) in the health or medical field directly related to home care, long-term care, or personal care and the completion of an NC Medicaid certified training program within 90 calendar days; OR
- Nurse who holds a current North Carolina license with two (2) year or four (4) year degrees and one (1) year case management in home care, long-term care, personal care, or related work experience and the completion of an NC Medicaid-certified training program within 90 calendar days; OR
- An individual with a bachelor’s degree or who holds a nursing license as described above, without the number of years of experience, may be designated as an apprentice or a trainee and shall be hired to act in the role of case manager.
Benefits
- Mileage Reimbursement
- 401(k)
- 401(k) matching
- Medical, Vision, and Dental insurance
- Employee assistance program
- Life insurance
- PTO
- Nine paid holidays
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Nurse Case Manager I responsible for coordinating care management plans and ensuring member access to services. Part of a hybrid team, enhancing lives and communities through healthcare services.
Nurse Case Manager responsible for care management for members with complex health needs. Assessing, developing, coordinating, and evaluating care plans in a health company environment.
Care Manager overseeing client management for disability insurance in Vaud, Switzerland. Collaborating with various stakeholders and ensuring timely returns to work for clients.
Quality Manager implementing process standards for drive solutions at RENK. Overseeing compliance with relevant regulations and managing process management systems in an innovative company.
Case Manager Registered Nurse managing clinical strategies for members in New Jersey communities. Conducting assessments, care plans, and collaborating with diverse populations in a field role.
Senior Manager, EHS providing strategic leadership for high - risk remediation projects at Vantage Data Centers. Overseeing safety governance and compliance across operational environments in North America.
Document Manager overseeing document control and quality assurance at Vantage Data Centers. Collaborating with teams for successful execution of construction processes across multiple projects.
Manager, EHS overseeing safety initiatives for remediation and special projects at Vantage Data Centers. Collaborating with teams to protect operations and drive EHS standards.
Sr. Portfolio Manager leading investment strategies for complex client relationships in Private Asset Management. Emphasizing trust - building with clients, mentoring, and strategic thinking.