Anticipated End Date: 2026-03-16 Position Title: Nurse Case Manager I Job Description: Shift: Monday – Friday; 8:00am - 4:30pm EST with 3 late evening shifts per month 11:30am to 8pm EST. Location: Virtual; Alternate locations may be considered if candidates reside within a commuting distance from an office Virtual: 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 *This position will service members in different states; therefore, Multi-State Licensure will be required.* The 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. 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. - Assists in problem solving with providers, claims or service issues. 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. - Current and active RN license required in applicable state(s). Preferred skills capabilities, and experiences: - Certification as a Case Manager and a 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 to $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: 1st Shift (United States of America) 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.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Referral Resource Coordinator (RRC) manages referral and case activity to ensure follow-up and/or response on site to hospitals occur in a manner that meets NEDS’ mission and best serves donor families. This position participates in a remote work capacity and schedule that provides oversight of new and open referrals and dispatching of staff 24-hours a day, 365 days a year. Please note: Only candidates with previous OPO experience in a clinical role such as a Donation Coordinator, Critical Responder or Referral Resource Coordinator will be strongly considered. Qualifications - Ability to work remote for a mix of 16 hour and 8 hour shifts; RRCs currently work 2 shifts of 16 hours days and 1 shift of 8 hour overnight a week. - Ability to communicate effectively and provide good customer service when collaborating with both NEDS team members and key hospital partners in a Critical Care/ICU setting. - Basic understanding of pathophysiology and critical-care level hemodynamics. - Ability to read, analyze and interpret electronic medical records of patients receiving ICU-level care to assess donor suitability and type of response necessary (i.e. lab values, diagnoses, medical history). - Ability to respond to changing needs; prioritize effectively, and to communicate effectively and constructively during times of stress. - Excellent organizational skills and ability to multi-task cases. - Adherence to standards of practice. - Proficiency in Word, Excel, Outlook and the ability to learn NEDS’ internal systems (e.g. True North) and hospital EMRs. Requirements - Bachelor’s degree preferred; three to five years’ experience in a related field. - Critical care (hospital or pre-hospital) or OPO experience required. - Previous OPO experience as a Donation Coordinator or in a position with organ donor referral management strongly preferred. - This is a fully remote position. Candidates must be available to be on site in Waltham, MA for a week for New Hire Orientation. Benefits - Competitive salaries. - Generous paid time off program. - BCBS Health and Dental Insurance. - Healthcare Reimbursement Account. - 2x Annual Salary Life Insurance. - Pet Insurance. - Flexible Spending Account (FSA). - Short-Term and Long-Term Disability Coverage. - 403(b) Retirement Contribution. - Tuition Reimbursement. - Employee Assistance Program. - Discounts through Working Advantage.

Discovery Behavioral Health Discovery Behavioral Health (DBH) is a national leader in behavioral healthcare and one of the fastest growing companies in the field. DBH offers world-class treatment for those struggling with eating disorders, mental health, and substance use and places a high priority on seeking employees who share our passion for improving the lives we serve. Since 1997, Discovery Behavioral Health has helped thousands of patients discover their path to the full and rewarding lives they deserve with evidence-based and inclusive treatment options. Position Summary: A Clinical Outreach Representative is responsible for marketing efforts in a specific region as assigned to them by the Regional Director of Clinical Outreach. Within this specific region, they are to increase awareness of Discovery Behavioral Health, the division they represent, and the specific brand they have been hired for. Outreach representatives are to develop referral sources, maintain relationships internally and externally, and ultimately drive admissions to the organization. Essential Job Functions: - Creating and executing regional strategic marketing plans. - Increase referrals and admissions for continued company growth. - Develop and maintain referral relationships amongst various healthcare professionals. - Maintain activity levels equating to 85 field meetings including 5 onsite tours, 3 in-services per month or as assigned by the Regional Director of Clinical Outreach. - Contribute to referral and admissions prospects goals as identified by the Regional Director of Clinical Outreach. - Maintain Sales Force database and activity record - Add new contacts into Sales Force: all contact information, regional assignment, and categorize, update accounts when necessary. - Keep activities and events logged appropriately in Sales Force. - Complete weekly and end of month reports in a timely manner: mileage reports, credit card reports, end of month reporting, and other reports as identified by Regional Director. - Assist Regional Director/Territory Manager in identifying new opportunities for marketing efforts: direct mail, online, and community based. - Facilitate and support communication between outreach and admissions, outreach and clinical, outreach and management. - Facilitate and support communication between referral sources and admissions, referral sources and clinical, and referrals throughout Discovery Behavioral Health as a whole. Knowledge, Education, Experience: - Bachelor’s degree (B.A.) from four-year college or university - At least three years of experience working in direct outreach or clinical experience in the mental health field Employment Status: Full-Time Schedule: Monday-Friday (Flexibility after hours and weekends as needed) Work Location: Remote - must be local to Chester County, PA Compensation: Pay Range: $85,000 - $110,000/annually Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work. DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce. We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.

We do Consulting Differently The Integrated Health Solutions (IHS) practice at Berkeley Research Group (BRG) provides end-to-end advisory support to healthcare providers, payers, investors, and other stakeholders navigating complex strategic, operational, financial, and clinical challenges. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.   Our four core service offerings include:  - Business Transformation Advisory - Margin & Operational Improvement - Quality Improvement & Clinical Care - AI & Digital Solutions Clinical and Quality Transformation (CQT) helps providers improve care for their patients by implementing evidence-based leading practices to enhance clinical quality, operational efficiency, and care delivery.  CQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. BRG’s Clinical Performance Improvement (CPI) service line within CQT emphasizes long-term, sustainable improvements in patient care operations through strong collaboration and inclusiveness across the care continuum. Our methodology stands out in the industry due to its comprehensive scope and the extensive involvement of physicians and clinicians in its implementation. We view clinical redesign efforts as a cyclical process in which implementation activities in one area build momentum for other activities throughout acute care, ambulatory or post-acute organizations. We customize our focus to address our clients' specific pain points, guided by key performance indicators in both foundational support and targeted interventions. It is our belief that a high-quality, efficient, and cost-effective patient care focus must begin at the point of entry and extend through post-hospitalization. The Service line is comprised of four pillars. Each focuses on an area that has a vital role in the provision of patient care in a health care system. This position is with our Care Transitions (CT) pillar. Care Transitions (CT) decreases excess days through targeted interventions for avoidable days, technology enhancements and foundational improvements in daily operations The CT Managing Consultant at BRG leads complex performance improvement projects within their expertise pillar, overseeing project teams and ensuring high-quality deliverables. This role drives client value through advanced analytics, industry expertise, and strategic recommendations. Managing Consultants are expected to demonstrate leadership, manage multiple projects, and contribute to business development and staff development initiatives. Flexibility for travel (up to 80% of time) is required for this position. Travel volume is dependent on project and client needs. Responsibilities: o Ability to serve as engagement director for small projects limited to employee’s specific area of subject matter expertise o Support project workstream(s) under the direction of the project workstream/pilar Subject Matter Expert (SME), or serve as the SME if it is in the individuals core-knowledge area: o Supporting SME in non-core knowledge area: - Support CPI SME in the workstream assessment and/or implementation deliverables. - Assists CPI SMEs in establishing client processes/policies that maximize the quality and efficiency of client operations. - Monitors implemented workstreams and provides timely feedback to CPI SMEs as directed. - Ability to independently meet with clients and executives to advance project deliverables - Ability to independently create client facing materials including but not limited to slide decks and other materials o Acting as SME in core-area of knowledge: - Ability to serve as service line lead for both small and fully integrated client delivery projects - Ability to develop project plan and client deliverables for smaller-scale projects - Ability to independently implement client deliverables created by self or a SME - Ability to lead performance improvement work teams towards developing future-state processes - Ability to independently meet with clients and executives to advance project deliverables - Ability to independently create client facing materials including but not limited to slide decks and other materials o Mentoring and Coaching - Ability to lead, manage, develop, mentor, and coach junior staff supporting the managing consultant’s projects - Following 1 year of employment, ability to effectively serve as a “buddy” for other managing consultants or junior staff joining the firm - Following 1 year of employment, ability to serve as an assigned coach in support of ongoing mentorship, coaching, and development of junior staff o Submits complete, accurate, and on-time expense reports and time entry o Contributes internally to advancement of the firm through participation on work teams, task forces, etc. o Actively notifies superiors when bandwidth for additional utilization exists o Effectively utilizes non-productive time towards professional continuing education, and/or advancement of the firm o Maintains licensure and certifications in place at the time of assuming the role o Willingness to work in other service lines as directed/assigned o Ability to serve as a client’s interim leader in their area of subject matter expertise o Develops thought leadership that advances self and BRG’s brand in thought leadership (e.g. white papers, podcasts, presentations at conferences, case studies at project conclusion, etc.) o Other duties as assigned. Qualifications: o Either 6+ years of experience in clinical performance improvement consulting or 10+ years of industry experience in a relevant role with relevant licensure/certification(s), including at least five years of industry experience in a relevant director-level leadership (e.g. Registered Nurse, Social Worker, or experience in a health system performance improvement department with Lean Six Sigma Black Belt Certification or Certification as a Project Management Professional (PMP)) o Bachelors Degree required in health or related field from an accredited college/university, or equivalent training/experience; Masters Degree in a relevant field is preferred. Candidates without a Masters Degree must enroll in a Masters program and earn their degree within three years of being hired into the role. o Board Certification(s) preferred in area of subject matter expertise o Advanced proficiency in data analytics and benchmarking tools o Credible as a subject matter expert in specific domain of expertise o Demonstrated leadership and project management experience o Strong communication, analytical, and client management skills o Expanded operational knowledge of care management, proper status assignment, portal of entry management, patient placement, throughput processes, discharge barrier mitigation, and post acute care. o Ability to interface with the client’s clinical and ancillary leaders. o Ability to analyze data, identify issues, and develop solutions to align with process improvement. o Expected to actively participate in Throughput initiatives and independently lead smaller initiatives to enhance process improvement initiatives. Working Conditions: While performing the duties of this role, the employee will work in a variety of environments, including professional office settings, client facilities, and remote/home offices. The position requires frequent travel, which may involve extended periods of sitting during transportation and carrying or lifting personal luggage. Client engagements may require periods of walking, standing, or moving throughout facilities. The role routinely uses standard office equipment such as computers, phones, and virtual collaboration tools. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Some client engagements and local jurisdictions require proof of seasonal influenza vaccination, COVID‑19 vaccination, or other communicable‑disease vaccinations as a condition of its contract(s). Employees assigned to those engagements must meet applicable requirements. Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship. Managing Consultant Salary Range: $ 120,000 - $ 165,000 Job title and compensation to be determined based on qualifications and experience.   #LI-JQ1| #LI-Remote About BRG BRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart—and gets you ahead. At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for organizations across the globe. Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking from diverse perspectives that, when paired with our global reach and resources, make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world. At BRG, we don’t just show you what’s possible. We’re built to help you make it happen. BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.