NURSE CASE MANAGER I
Company: Elevance Health
Location: Norfolk
Posted on: October 29, 2024
Job Description:
Telephonic Nurse Case Manager ISign-on Bonus: $3000Elevance
Health supports a hybrid workplace model with pulse point sites
(major offices) used for collaboration, community, and connection.
This is a virtual position, but you must reside within 50 miles of
an Elevance Health Pulse Point .Work Schedule: Monday-Friday Hours:
8:30-5:00 pm CST.The Telephonic Nurse Case Manager I is responsible
for performing 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 designed to optimize member health care across the care
continuum. Performs duties telephonically or on-site such as at
hospitals for discharge planning.How you will make an impact:
- Ensures member access to services appropriate to their health
needs.
- Conducts assessments to identify individual needs and a
specific care management plan to address objectives and goals as
identified during the assessment.
- Implements care plan by facilitating authorizations/referrals
as appropriate within the benefits structure or through
extra-contractual arrangements.
- Coordinates internal and external resources to meet identified
needs.
- Monitors and evaluates the effectiveness of the care management
plan and modifies it as necessary.
- Interfaces with Medical Directors and Physician Advisors on the
development of care management treatment plans. Negotiates rates of
reimbursement, as applicable.
- Assists in problem-solving with providers, claims, or service
issues.Minimum Requirements:
- Requires BA/BS in a health-related field and a minimum of 3
years of clinical experience; or any combination of education and
experience, which would provide an equivalent background.
- Current, unrestricted RN license in the applicable state(s) is
required.
- Multi-state licensure is required if this individual is
providing services in multiple states.Preferred Capabilities,
Skills, and Experiences:
- Certification as a Case Manager is preferred.
- BS in a health or human services-related field is
preferred.Please be advised that Elevance Health only accepts
resumes for compensation from agencies that have a signed agreement
with Elevance Health. Any unsolicited resumes, including those
submitted to hiring managers, are deemed to be the property of
Elevance Health.Who We AreElevance Health is a health company
dedicated to improving lives and communities - and making
healthcare simpler. We are a Fortune 25 company with a longstanding
history in the healthcare industry, looking for leaders at all
levels of the organization who are passionate about making an
impact on our members and the communities we serve.How We WorkAt
Elevance Health, we are creating a culture that is designed to
advance our strategy but will also lead to personal and
professional growth for our associates. Our values and behaviors
are the root of our culture. They are how we achieve our strategy,
power our business outcomes and drive our shared success - for our
consumers, our associates, our communities and our business.We
offer a range of market-competitive total rewards that include
merit increases, paid holidays, Paid Time Off, and 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 and financial education resources, to name a few.Elevance
Health operates in a Hybrid Workforce Strategy. Unless specified as
primarily virtual by the hiring manager, associates are required to
work at an Elevance Health location at least once per week, and
potentially several times per week. Specific requirements and
expectations for time onsite will be discussed as part of the
hiring process. Candidates must reside within 50 miles or 1-hour
commute each way of a relevant Elevance Health location.The health
of our associates and communities is a top priority for Elevance
Health. We require all new candidates in certain
patient/member-facing roles to become vaccinated against COVID-19.
If you are not vaccinated, your offer will be rescinded unless you
provide an acceptable explanation. Elevance Health will also follow
all relevant federal, state and local laws.Elevance Health is an
Equal Employment Opportunity employer and all qualified applicants
will receive consideration for employment without regard to age,
citizenship status, color, creed, disability, ethnicity, genetic
information, gender (including gender identity and gender
expression), marital status, national origin, race, religion, sex,
sexual orientation, veteran status or any other status or condition
protected by applicable federal, state, or local laws. Applicants
who require accommodation to participate in the job application
process may contact elevancehealthjobssupport@elevancehealth.com
for assistance.
Keywords: Elevance Health, Hampton , NURSE CASE MANAGER I, Healthcare , Norfolk, Virginia
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