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Nurse Case Manager I, 100% Virtual
Elevance HealthNurse Case Manager enabling individuals to maximize health through care management for chronic needs. Conducting assessments and implementing personalized care plans.
About the role
Key responsibilities & impact- Performing care management within the scope of licensure for members with complex and chronic care needs
- Assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care
- Conducting assessments to identify individual needs and specific care management plans
- Facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements
- Coordinating internal and external resources to meet identified needs
- Monitoring and evaluating effectiveness of the care management plan and modifying as necessary
- Interfacing with Medical Directors and Physician Advisors on treatment plans
- Assisting in problem solving with providers, claims or service issues
Requirements
What you’ll need- BA/BS in a health related field
- Minimum of 3 years of clinical experience
- Current, unrestricted RN license in applicable state(s) required
- Multi-state licensure is required if providing services in multiple states
- Certification as a Case Manager is preferred
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical, dental, vision benefits
- Short and 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 managementassessmentscare plansmonitoringevaluatingproblem solving
Soft Skills
coordinationcommunication
Certifications
RN licenseCase Manager certification