Telephonic Nurse Case Manager II responsible for member care management and coordination at Elevance Health. Requires significant clinical experience and multi-state licensure, working primarily from California.
Responsibilities
Ensures member access to services appropriate to their health needs
Conducts assessments to identify individual needs and specific care management plans
Implements care plans by facilitating authorizations/referrals
Coordinates internal and external resources to meet identified needs
Monitors and evaluates effectiveness of care management plans
Requirements
BA/BS in a health related field
Minimum of 5 years of clinical experience
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 2 years’ experience in acute care setting preferred
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