Anticipated End Date: 2026-03-12 Position Title: Nurse Case Manager I Job Description: Nurse Case Manager I Hours: 9am-530pm with 2-3 late evenings a month 1130am-8pm Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Nurse Case Manager I is responsible for 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 assessment. - Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. - Coordinates internal and external resources to meet identified needs. - Monitors and evaluates effectiveness of the care management plan and modifies 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. - Assists with development of utilization/care management policies and procedures Minimum Requirements: - Requires BA/BS in a health related field and 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 applicable state(s) required. - Multi-state licensure is required if this individual is providing services in multiple states. Preferred Skills, Capabilities and Experiences: - Certification as a Case Manager is preferred. - BS in a health or human services related field preferred For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $70,560- $105,840 Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse 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 Are Elevance 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 Work At 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. 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 and Influenza. 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. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

• Lead thorough and confidential ER investigations, including allegations of harassment, discrimination, retaliation, workplace misconduct, and policy violations • Conduct interviews, gather and analyze evidence, and produce clear documentation and recommendations, partnering with Legal and People leadership on high-sensitivity or high-risk matters • Serve as a subject matter expert in performance management, partnering with leaders and People Advisors to improve performance outcomes through coaching, clear expectations, timely feedback, and appropriate support plans • Provide consultation and support for high-risk terminations, including those related to leaves of absence, accommodations, protected activity, investigations, and other sensitive circumstances, as well as support standard involuntary terminations by ensuring consistency, documentation sufficiency, and alignment to policies and best practices • Partner closely with Leave of Absence and Accommodations teams to support ER matters that intersect with leaves, restrictions, or workplace accommodations • Support development and delivery of ER-related training for People Advisors and leaders, including performance documentation, corrective actions, investigations, conflict resolution, and respectful workplace expectations • Use ER case management dashboards and reporting to identify key trends, themes, and emerging risk areas across ER activity, presenting insights to internal stakeholders

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! Responsibilities Under minimal direction, the Analyst will be responsible for the design, build, testing, training, and support of the Electronic Health Record (EHR) system. The Analyst requires little or no supervision as they build, maintain the system and exercise independent judgement and discretion in carrying out day-to-day support related activities. The Analyst performs complex design and analysis tasks related to the hospital business operations. The Analyst will also act as a mentor to other members of the Optime team. #LI-AS1 #remote Qualifications Required qualifications: - Bachelor's degree in Healthcare Informatics, Nursing, Computer Science, Information Technology, or related field, or an equivalent level of professional experience required. - Certification in Epic applications (e.g., Epic Optime, etc.) and any new certifications must be obtained within 3 months of hire. - Two (2) years of experience implementing, configuring, and supporting Epic EHR applications. - Proficiency in system configuration, customization, and optimization within the Epic environment. - Strong understanding of hospital business operations and structure, clinical workflows, general requirements in an integrated delivery system, and use of IT applications in the practicing healthcare environment. - Strong computer skills including Windows, Outlook, Word, Excel, Visio, and PowerPoint - Technical expertise in subject matter areas demonstrated by documented experience in analysis, process design and workflow, research, installation/implementation, and support of EHR systems. - Ability to independently prioritize work assignments, meet deadlines and manage multiple projects and/or priorities. - Customer service oriented and excellent communication and organizational skills. - Able to travel up to 50% and take calls as needed. Preferred qualifications: - Prior experience in EMR implementations and/or support. - Experience with project management methodologies and tools. Pay Transparency Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $68,640.00 to $124,800.00 on an annualized basis. The compensation estimate noted above is specific to California and has not been adjusted for any other geographic location. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are seeking a Human Resource and Recruiting Coordinator. This position will encompass administrative support within the People Operations Team. This position will require an individual who is pro-active, savvy, professional and able to self-prioritize and deconflict their time while supporting separate but mutually supporting lines of effort. Human Resources Responsibilities: - This role requires the highest level of professionalism and discretion, as this role will have access to sensitive and confidential employee information and is expected to maintain strict confidentiality at all times. - Manage the end-to-end onboarding process for all new hires. - Lead and facilitate new hire orientation, ensuring a professional, engaging, and consistent experience. - Coordinate pre-employment documentation with new hires and ADP employee system setup. - Enter and audit new hire data in ADP, ensuring accuracy of demographics, job details, compensation, state tax setup, and direct deposit information. - Guide new employees through benefits enrollment in ADP and ensure timely and accurate transmission to carriers. - Continuously improve onboarding and orientation processes for efficiency and employee experience. HRIS / ADP Administration: - Maintain and audit employee data to ensure accuracy and compliance. - Monitor payroll-related data including tax configurations, benefit deductions, and direct deposit. - Troubleshoot system issues and coordinate with ADP support as needed. - Support ad hoc HR special projects and initiatives. Talent Acquisition Responsibilities: - Support the Talent Acquisition team recruiting top talent for positions in the Government Contracting Industry. - Administrative support responsibilities to support talent acquisition will include initial resume review and sorting, candidate resume preparation for submission to clients, job posting management, candidate tracking and reporting, candidate database management, and other TA administrative roles to be determined. - Successful candidates for this position will have some familiarity with the Government Contracting Industry and the unique challenges and requirements of recruiting within this sector. - Excellent communication and interpersonal skills to build strong relationships with candidates and collaborate with internal team members. - The ideal candidate will be an agile self-starter with excellent time management and interpersonal skills who thrives in a highly dynamic and changing environment. TA and Recruitment Coordination: - By working with both HR and TA teams, helps to ensure strong communication is maintained between both groups. - Will and able to speak to HR and TA managers to advocate for how to best prioritize their workload between both groups. Recruitment Support Responsibilities: - Execute recruitment strategies to attract qualified candidates for government contracting positions, predominantly in the Architecture/Engineering/Construction industry. - Utilize various sourcing techniques, including networking, social media, and job boards, to passively and actively identify, and engage with potential candidates. - Assist recruiters with resume review and submission to hiring managers. - Create new job postings in ADP and update them routinely. - Disposition candidates based on recruiter guidance. - Update trackers and quarterly report documents to quantify recruiting efforts. - Maintain internal recruiting communication boards. - Reformat selected candidate resumes for submission to clients. Qualifications - B.A. or B.S. in Business Administration or Related Field - Experience using Project Management Software to manage multiple projects - Proficient in Microsoft Office Suite of products - Minimum of 3 (three) years of experience in human resources with some experience in talent acquisition - Excellent communication and interpersonal skills, with the ability to build relationships with candidates and hiring managers - Highly organized and detail-oriented, with the ability to manage multiple priorities and meet deadlines Preferred Qualifications - Understanding of the Government Contracting and/or Architecture/Engineering/Construction industries and the unique requirements of recruiting within these industries - Knowledge of direct sourcing tools like LinkedIn Recruiter, Clearance Jobs and ZipRecruiter - Previous experience with HRIS (or similar software systems) - Previous experience with ATS (or similar software systems) Location - Mostly Remote, candidates are expected to live in the DC metro area to visit ISI work locations or local job fairs. - This position will require occasional in-office work and onsite, local recruiting event support. Physical Requirements - This job operates in a professional office environment. - Flexibility related to work hours as project demands arise. - Occasionally required to move 5 – 15 pounds. - Must be able to remain in a stationary computer position for extended periods. Work Setting/Environment/Travel Requirements - Monday through Friday, Normal business hours 8:00 am – 5:00 pm. - May be required to attend job fairs. Some of these fairs may include travel.