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Elevance Health

Elevance Health is fueled by a purpose to strengthen the health of humanity by redefining health, reimagining the health system, and improving communities. Reco

Nurse Case Manager I

Location

Tennessee

Posted

1 day ago

Salary

0

Seniority

Senior

Bachelor Degree3 yrs expExperience acceptedEnglish

Job Description

Nurse Case Manager I

Elevance Health

• Perform care management telephonically within the scope of licensure for members with complex and chronic care needs • Assess, develop, implement, coordinate, monitor, and evaluate care plans designed to optimize member health care • Ensure member access to services appropriate to their health needs • Conduct assessments to identify individual needs and a specific care management plan • Implement care plan by facilitating authorizations/referrals as appropriate • Coordinate internal and external resources to meet identified needs • Monitor and evaluate effectiveness of the care management plan and modify as necessary • Interface with Medical Directors and Physician Advisors on the development of care management treatment plans • Assist in problem solving with providers, claims or service issues

Job Requirements

  • Requires BA/BS in a health related field
  • Minimum of 3 years of clinical experience
  • Current, unrestricted RN license in applicable state(s)
  • Multi-state licensure is required if providing services in multiple states
  • Nurse case management experience is strongly preferred
  • Experience working with Medicare and Medicaid programs is strongly preferred

Benefits

  • 25 days annual leave
  • Private healthcare
  • Pension scheme
  • Flexible working hours
  • Professional development opportunities
  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources

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