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Nurse Case Manager I
Elevance HealthTelephonic Nurse Case Manager I responsible for care management of chronic care needs. Working virtually full-time with assessments and developing care management plans for members in Kentucky.
About the role
Key responsibilities & impact- Responsible for care management within the scope of licensure for members with complex and chronic care needs
- Conduct assessments to identify individual needs and develop a specific care management plan
- Implement care plan by facilitating authorizations/referrals as appropriate
- Coordinate internal and external resources to meet identified needs
- Monitor and evaluate effectiveness of the care management plan and modify as necessary
- Interfaces with Medical Directors and Physician Advisors on care management treatment plans
Requirements
What you’ll need- Requires BA/BS in a health related field
- minimum of 3 years of clinical experience
- Current, unrestricted RN license in the state of Kentucky required
- Multi-state licensure required if providing services in multiple states
- Certification as a Case Manager preferred
- BS in a health or human services related field preferred
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- short term disability benefits
- long term disability benefits
- 401(k) + match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
care managementclinical assessmentcare management plan developmentauthorization facilitationresource coordinationmonitoring and evaluationtreatment plan modification
Soft Skills
interpersonal communicationcollaborationproblem-solvingorganizational skills
Certifications
RN licenseCase Manager certification