Hybrid Nurse Case Manager I – OB

at Elevance Health

• Job title: Nurse Case Manager I – OB
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Indianapolis, United States

About the role

• Nurse Case Manager delivering telephonic OB care coordination and management at Elevance Health.

Responsibilities

• Perform care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans
• Conduct assessments to identify individual needs and create specific care management plans
• Implement care plans by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements
• Coordinate internal and external resources to meet identified needs
• Monitor and evaluate effectiveness of care management plans and modify as necessary
• Interface with Medical Directors and Physician Advisors on development of care management treatment plans
• Assist in problem solving with providers, claims, or service issues
• Perform duties telephonically
• Work virtually full-time with required in-person training sessions and proximity to Indianapolis office

Requirements

• Requires BA/BS in a health related field
• Minimum of 3 years of relative clinical experience
• Or any combination of education and experience which would provide an equivalent background
• Current, unrestricted RN license in applicable state(s) required
• Multi-state licensure required if providing services in multiple states
• Case Management experience preferred
• Certification as a Case Manager preferred
• Minimum 3 years experience in acute care setting preferred
• Managed Care experience preferred
• Ability to talk and type at the same time
• Demonstrate critical thinking skills when interacting with members
• Strong computer skills (including 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
• Strong organization and time management skills with the ability to work independently
• Must live within a reasonable distance of the Indianapolis, Indiana office or be able to commute as required by policy
• May be required to be vaccinated against COVID-19 and Influenza for certain patient/member-facing roles

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs (unless covered by a collective bargaining agreement)
• medical
• dental
• vision
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources