Anticipated End Date: 2026-03-27 Position Title: Nurse Case Manager I Job Description: Nurse Case Manager I 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 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 ideal candidate must reside in the state of Tennessee. The Nurse Case Manager I will be responsible for performing care management telephonically 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. 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. Preferred Skills, Capabilities, and Experiences: - Nurse case management experience is strongly preferred. - Experience working with Medicare and Medicaid programs is strongly preferred. 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.

• Review clinical cases and determine medical necessity of services for Medicare and Medicaid members • Ensure compliance with review policies, procedures, and regulatory standards • Apply clinical guidelines, CMS policies, and Medicare/Medicare Advantage/Medicaid requirements • Identify opportunities for medical management operational improvements • Participate in call rotations, including weekend coverage and after-hours coverage • Contribute to an engaged, collaborative team culture that supports organizational excellence • Deliver exceptional consumer experiences • Support Home Solutions and other activities as assigned by the OneHome leadership

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details JOB OBJECTIVE: Under the direction of the Director or Manager the pharmacist assumes responsibility for the pharmacotherapy outcomes of patients through knowledge and skills coupled with innovative technology. Schedule: 3:30PM - 12AM, EST, Mon - Fri ESSENTIAL JOB FUNCTIONS: - Serves as a point of contact for the patient and their family, other pharmacists (internally or externally), clients, and/or other healthcare providers to address medication related problems (MRPs), other medication or health-related issues, and/or answer questions regarding pharmacotherapy needs, medication dispensing, issues, and suggestions. - Explains care plan options and the use, side effects, and contraindications of medications dispensed, either verbally and/or via written records, stored within proprietary software. Ensures that patient care decisions and actions as well as coding/billing are properly documented by providing accurate, efficient, timely and compliant medication distribution and fulfillment for patients using proprietary software. - Oversee Pharmacy Technicians to ensure appropriate medication reconciliation, physician order entry, inventory management, medication storage and security conditions, and medication labelling and packaging as well as compliance to company policies and procedures and regulatory guidelines. - Provides timely review, preparation/compounding, and final approval for prescription orders and dispensed medications ensuring the correct drug, dosage form, directions, quantity, days’ supply, number of refills and packaging/labelling, including ancillary warnings, is entered into the appropriate patient profile, and dispensed to the correct patient. Works to ensure proper and compliant billing and record keeping of medications dispensed and shipped. - Uses professional judgment to provide timely, accurate and appropriate pharmaceutical care appropriately assessing new medication requests and refills making recommendations, in writing or via telephone to care providers to enhance patient outcomes and/or safety as needed in relation to care plans, changes, issues, and education. - Ensures compliance to state and federal laws and applicable rules and regulations as well as internal policies and procedures required for pharmacy practice. Reports and works to rectify or prevent any incidents of QAs, HIPAA violations, Fraud, Waste and Abuse or other problems or violations. The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. QUALIFICATION REQUIREMENTS: - Possesses high level of integrity - Quality-oriented - Innovative - Steadfast EDUCATION: - BS in Pharmacy, PharmD preferred. - A current, active license in the state reside in and obtain a NJ license with in 90-days of hire EXPERIENCE: - Required: 2+ years of experience required in pharmacy distribution and packaging, exposure to geriatrics and/or chronic care management. - Preferred: Board Certified Geriatric Pharmacy Specialty Certification (BCGP) with experience or strong interest in clinical pharmacogenomics. - Must be registered or eligible to become registered with the appropriate State Board of Pharmacy. OTHER SKILLS and ABILITIES: Proficient with MS Office Suite. Excellent communication skills, both verbal and written. Ability to communicate effectively and professionally through written, verbal (e.g., face-to-face, telephonically and/or virtual communication platforms), and interpersonal skills as applied when interacting with employees, patients, healthcare professionals, clients, or agency representatives; successfully conveying and exchanging information at an appropriate level and in a positive and timely manner. Strong technical and computer skills to navigate proprietary and other pharmacy software and the initiative to propose suggestions to improve operations and proprietary system development and enhancements. Demonstrated experience with problem-solving, conflict resolution, and project management skills. Detail oriented and organized with the ability to work with a sense of urgency, work under pressure, multi-task, and achieve deadlines without sacrificing quality. Strong data entry capability. Strong analytical skills with good clinical judgement and decision making including (1) the ability to effectively and efficiently identify and rectify medication-related problems, and (2) assess patients using verbal and/or visual cues, when appropriate. Knowledge of state and federal laws and regulations, including HIPAA and Fraud, Waste, and Abuse. PHYSICAL/MENTAL DEMANDS: This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed. EXPECTED HOURS OF WORK: This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Rotating weekend schedule required approximately up to four times a year or as needed along with a rotating holiday schedule. TRAVEL: Remote SUPERVISORY: No AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

We are seeking Board-Certified PMHNPs who prioritize clinical excellence over corporate metrics. We provide the infrastructure (secure EMR, patient marketing, and billing support) so you can run your remote practice with total autonomy. The Financial Advantage: - Protected Revenue: We offer a 100% "No-Show" guarantee. If you are on the clock, you are getting paid. - True 1099 Freedom: No "on-call" requirements, no mandatory meetings, and no minimum hours. You own your schedule. - Credentialing Concierge: We manage the paperwork hurdles so you can start seeing patients faster. The Impact: - Conduct comprehensive psychiatric evaluations and ongoing medication management for a diverse patient population. - Maintain high standards of HIPAA-compliant documentation. - Exercise full clinical judgment in treatment planning. The Requirements: - Active PMHNP Certification. - Licensure in one or more states. - Ability to work independently in a remote environment.