Position Title: Nurse Case Manager I Job Description: Location: Harrisonburg, VA. This is a field-based role with some virtual work. Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. - 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 accommodation is granted as required by law. 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 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. 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. - For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: - Certification as a Case Manager and a BS in a health or human services related field preferred. - Previous OB/NICU experience 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Nurse Case Manager II Location: - MO-ST. LOUIS, 100 S 4TH ST, United States of America - CO-DENVER, 700 BROADWAY - TX-GRAND PRAIRIE, 2505 N HWY 360, STE 300 - VA-RICHMOND, 2015 STAPLES MILL RD, - WA-SEATTLE, 705 5TH AVE S, STE 300 Telephonic Nurse Case Manager II Sign on Bonus: $3000. 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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. Hours: Monday - Friday 10:30 - 7 pm CST. *****This position will service members in different states; therefore, Multi-State Licensure will be required. The Telephonic Nurse Case Manager II 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 5 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 Capabilities, Skills and Experiences: - Case Management experience is preferred. - Minimum 2 years’ experience in acute care setting is preferred. - Managed Care experience is preferred. - Ability to talk and type at the same time is preferred. - Demonstrate critical thinking skills when interacting with members is preferred. - Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly is preferred. - Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $83,248 to $130,548. Locations: Colorado; Washington State. 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. 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.

Senior RN Care Manager - Remote locations Home time type Full time job requisition id R-16111 At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior RN Care Manager - Remote Job Description The Sr RN Care Manager plays a critical role in delivering comprehensive, person-centered care by conducting clinical assessments and reassessments, developing and monitoring individualized care plans, and providing ongoing patient education and therapy-specific counseling. This role ensures seamless coordination among patients, caregivers, providers, and specialty pharmacy partners to support optimal treatment outcomes throughout the patient’s care journey. Responsibilities - Manage patient caseloads, conduct initial and follow-up assessments, and apply risk stratification to guide outreach and care team interventions - Serve as the primary point of contact for patients enrolled in specialty care and support quality improvement initiatives such as reporting on adherence, compliance, patient safety and satisfaction - Develop, implement, and monitor specialty patient care plans, setting measurable goals and promoting patient self-management - Oversee Risk Evaluation and Mitigation Strategy (REMS) drug safety program requirements for designated medications, ensuring patient compliance and escalating non-adherence as needed - Ensure continuity of care for newly enrolled patients by identifying needs, aligning care plans, and prioritizing treatment goals - Assess patient needs and coordinate services while ensuring clear communication among patients, caregivers, providers, and community resources - Document assessment outcomes, care planning, and clinical escalations accurately and timely, ensuring compliance with regulatory standards - Must have flexible working hours - Other duties as assigned ​Minimum Qualifications - Bachelors degree in Nursing or equivalent combination of education and/or relevant work experience - Registered Nurse License or Compact State Licensure - 5 years clinical experience as a Registered Nurse (RN) - Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications - Skilled in adapting communication strategies to accommodate cognitive or language barriers, ensuring effective engagement with diverse populations - Exceptional organizational and time management abilities, with a proven capacity to prioritize and manage caseloads efficiently in dynamic environments - Able to work independently while thriving in collaborative team settings, contributing to shared goals and cross-functional initiatives - Proficient in applying evidence-based clinical guidelines to support effective care planning and decision-making - Strong knowledge of care management principles and person-centered care planning, with a focus on holistic, individualized approaches - Familiarity with complex disease processes and specialty medications, particularly in managing chronic or high-acuity conditions Preferred Qualifications - Certified Case Manager (CCM) - Demonstrated experience in care management, case management, or disease management, including coordination of community-based support services and utilization of durable medical equipment Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $66,000.00 - $106,000.00 based on experience and skills.

Senior Member Relations Manager - U.S. Based Remote Opportunity Remote Member Success Full time Arlington, Virginia, United States Description If you are an experienced account management professional and want to be part of a mission-driven non-profit that uses innovative technology to advance the college admission process, Common App may be a great match for you. Common App is currently searching for a Senior Member Relations Manager. RESPONSIBILITIES As a member of the Member Relations team, and reporting to the Senior Manager , Member Services, this position provides strategic advice to assigned member colleges and universities that use Common App, in addition to serving in a leadership role within the Member Services team. They bring expertise and focus on serving a sector of members that may include, but is not limited to, community colleges, regional state systems, or institutions that admit the majority of their applicants. They offer advanced technical expertise, acting as a designated subject matter expert in supporting and meeting the needs of this sector of higher education and drive product and service adoption. Additionally, the Senior Member Relations Manager serves as a coach and mentor, providing leadership to the team and acting as an escalation point. The Senior Member Relations Manager serves as the primary contact to assigned member colleges throughout the application year, performing tasks such as offering best practices regarding the configuration of school-specific requirements within the application platform, guidance on how to leverage the full portfolio of Common App programs and services, sharing industry trends, pertinent information. The Senior Member Relations Manager works to ensure a smooth experience for member institutions throughout the application year. Requirements QUALIFICATIONS This role requires: - Candidates must live in the United States. - Willing to travel to attend twice annual Common App Retreat. - Bachelor's degree or higher from a four-year college or university; or an equivalent combination of education and experience. - 3-5 years of successful, progressive experience in account management or customer services, management, project management, communications - At least 3-5 years of experience in college recruitment or admissions - Experience in one or more of the following sectors within higher education: community colleges, regional state systems, institutions that admit the majority of their applicants, institutions serving a significant number of transfer or independent students. - Demonstrates mastery of core technical skills and uses them effectively. - Critical Thinking: Analyzes problems, identifies patterns, and proposes innovative solutions. - Takes ownership of tasks and seeks opportunities to contribute beyond assigned responsibilities. - Demonstrated ability to build and maintain strong relationships and rapport with stakeholders. - Exceptional verbal and written communication and listening skills, including the ability to present and respond to questions from diverse audiences, internal and external, in a positive and concise manner. - Must possess outstanding organizational skills, keen attention to detail, and the ability to successfully prioritize and manage multiple projects and processes simultaneously. - Must be a quick learner in order to understand new technology and communicate technical concepts to different audiences while paying special attention to detail. - Ability to understand organizational structure, products, and processes to educate both internal teams and member schools. - Must work effectively in a collaborative, team-oriented environment while also being a strong individual contributor. - Professional demeanor and positive attitude. - Knowledge of Common App portfolio of products and services and organization. - Demonstrated ability to achieve or surpass established service goals and performance metrics. - Exceeded expectations, internally and externally, in the member relations manager level position. The ideal candidate will possess: - Analytical ability. - Working knowledge of Google Suite. - Bilingual, Spanish is preferred . - Experience using enrollment CRMs such as Slate, EAB, etc. - A passion for higher education is a plus. PAY RANGE - $75,000 - $80,000 Benefits Common App is a virtual first environment. We value our employees’ time and efforts. Our commitment to your success is enhanced by our competitive salary and an extensive benefits package including: - Work-Life balance - Virtual-first office - Paid Time Off (PTO) - Seven company-wide holidays - Nine floating holidays* - Sick leave - Monthly mental health day *floating holidays prorated depending on start date - Virtual-first support - Choice of PC of MAC laptop - May choose an external monitor, keyboard, mouse, and/or headset - One-time office set-up stipend - Monthly remote work stipend - Monthly mobile stipend - Financial security - Market-based salaries - Performance-based bonus - 403(b) retirement plan - 5% company contribution - additional 5% company match - 3-year vesting schedule - Participation may begin immediately - Health & wellness - Choice of two health insurance plans - Health Savings Account, depending on health plan selection - Medical Flexible Savings Account, depending on health plan selection - Vision insurance - Dental insurance - Insurance coverage begins on the date of hire - Dependent Care Flexible Spending Account - Maven virtual clinic for women’s and family health - Company provided life and ad&d insurance - Opportunity to purchase additional life insurance for self, spouse, and dependents - Company provided short and long-term disability insurance - Career development - Budgeted annual funds for professional development - Growth opportunities within the company - Additional perks - Mutual of Omaha Employee Assistance Program - Mutual of Omaha will preparation services - Mutual of Omaha travel assistance - Payroll dedication pet insurance through PinPaws - 1Password family account We work to maintain the best possible environment for our staff, where people can learn and grow. We strive to provide a diverse, collaborative, team-oriented, creative environment where each person feels encouraged to contribute to our processes, decisions, planning, and culture.