- Monitors and follows up on member responses through a digital care management application.
- Ensures member access to services appropriate to their health needs through active care coordination.
- 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.
- Assists with development of utilization/care management policies and procedures.
- 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 state of residence required.
- Must be able to obtain Multi-state licensure at company expense.
- Bilingual - English / Spanish .
- Multi-state RN licensure a plus
- Post Discharge planning/transitional care experience strongly preferred.
- CHD and/or Type ll Diabetes preferred.
- Experience using Member 360, HIP, and ability to navigate multiple applications simultaneously.
- Telephonic nursing a plus.
- Certification as a Case Manager is preferred.
- 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.
-
Case Manager
4 weeks ago
The Salvation Army Intermountain Division Denver, United States· Job Title: Case Manager FLSA Status: Full Time - non-exempt Reports to: Program Director Schedule: FT, Varies Supervises: N/A Closing Date: 12/4/2023 Rate of Pay: $25-26/hour Benefits: Standard; Full-Time, Non-Exempt employees are eligible for but not limited to the following: ...
-
Case Manager
3 weeks ago
Peer Assistance Denver, United StatesPeer Assistance Services, Inc., is a community-based, 501(c)(3), not-for-profit Colorado corporation. Our mission, to lead with prevention and intervention for substance use and mental health concerns, guides all agency programming. Our values of grit, integrity, and compassion a ...
-
Case Manager
1 week ago
SNI Companies Denver, United StatesJob Description · Staffing Now, a division of SNI Companies , has partnered in hiring for a Youth Case Manager working for our client in Denver.The Youth Case Manager is a full-time opportunity working Monday through Friday from 8 am to 5 pm.This position has onsite work requirem ...
-
Case Manager
2 weeks ago
SNI Companies Denver, United StatesJob Description · Staffing Now, a division of SNI Companies , has partnered in hiring for a Youth Case Manager working for our client in Denver. The Youth Case Manager is a full-time opportunity working Monday through Friday from 8 am to 5 pm. This position has onsite work requir ...
-
Case Manager
3 weeks ago
Lutheran Family Services Denver, United States*Applicants who apply through third-party sites (Indeed, Monster, etc.) will receive an email from ApplicantPro to complete their application.* · SUMMARY · The Foster Care Case Manager is responsible for the monitoring and protection of children, to provide case management for a ...
-
Case Manager
2 days ago
Peer Assistance Services Inc Denver, United StatesJob Description · Job DescriptionPeer Assistance Services, Inc., is a community-based, 501(c)(3), not-for-profit Colorado corporation. Our mission, to lead with prevention and intervention for substance use and mental health concerns, guides all agency programming. Our values of ...
-
Case Manager
1 week ago
Community Economic Defense Project Denver, United StatesJob Description · Job DescriptionSalary: $60,000 · About the Community Economic Defense Project (CEDP) & CED Law · Our mission · We partner with low-income and working people to build economic and racial equity. We do this by confronting economic abuse and investing in community ...
-
Case Manager
3 weeks ago
Schwartz, McMinimee, & Andrew, LLC Denver, United StatesJob Description · Job DescriptionProbate firm is seeking a full-time Case Manager. Duties include asset investigation and tracking and oversight of asset and property management. Ideal for someone with property management and/or business experience. Candidates must possess excell ...
-
Case Manager
2 weeks ago
Home Instead Denver Denver, United StatesJOB DESCRIPTION · Are you interested in joining the #1 home care company in the world? Still haven't found a job with the company culture you've been looking for? Are you passionate about making a difference? · We are looking for a Client Care Manager with a great personality, st ...
-
Director of Case Management
2 weeks ago
N2S Healthcare Staffing Solutions LLC Denver, United StatesTitle: Director of Case Management · Location: Denver, Colorado, US · Full time Permanent Job · Job Summary and Qualifications: · The Facility Case Management Director has the overall responsibility for managing and coordinating department activities. · The Director ensures staff ...
-
RN Case Manager
2 weeks ago
Kindred Hospital Denver Denver, United StatesDescription · $15,000 Sign on Bonus. · $74,000 - $111,600 · We would expect those hired into this job would be paid within this pay range, however, certain circumstances may allow us to pay outside of this range · At Kindred It Starts With Me. · Our commitment is to deliver e ...
-
Case Management Asst
21 hours ago
AdventHealth Denver, United StatesInternal Number: · Please attach a copy of your resume, license/certifications to your application—thank you · All the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Student Loan Repayment Program · Career Developm ...
-
Case Management Asst
2 weeks ago
AdventHealth Denver, United StatesInternal Number: · Please attach a copy of your resume, license/certifications to your application—thank you · All the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Student Loan Repayment Program · Career Developm ...
-
RN Case Manager
18 hours ago
Family Tree Private Care Denver, CO, United States: · Family Tree Private Care is a leading and trusted provider of concierge-level advisory services to older adults, those living with disabilities, and their families. Family Tree Private Care is an ideal fit if you are looking for a fulfilling opportunity, passionate teammates, ...
-
Director Case Management
1 day ago
Dallas Texas Caregivers Denver, United StatesJob Overview: · We are seeking a dedicated Director of Case Management to oversee and lead our case management team in a hospital setting. The ideal candidate will have a strong background in managing case management processes, data collection, utilization review, and supervising ...
-
Residential Case Manager
2 weeks ago
Denver Rescue Mission Denver, United StatesJob Type · Full-time · Description · Hope Starts Here Your career as a Residential Case Manager with Denver Rescue Mission is your opportunity to make a difference. Are you looking to build community and meet new friends? Are you looking for meaningful work and career advanceme ...
-
Case Manager, Immigration
1 week ago
Kansas Action for Children Denver, United Statesat BI Incorporated (A GEO Group Company) in Peachtree Corners, Georgia, United States · Job Description · Job Description Benefits Information · Benefits · As a Case Manager, you will be part of a stable, established, and yet still growing organization with a great deal of diver ...
-
Lead Case Manager
4 weeks ago
The Salvation Army USA Western Territory Denver, United StatesJob Title: Lead Case Manager · FLSA Status: Full Time - non-exempt · Reports to: Assistant Director · Schedule: FT, Varies · Supervises: Case Managers · Closing Date: 4/9/2024 · Rate of Pay: $28/hour · Benefits: Standard; Full-Time, Non-Exempt employees are eligible for bu ...
-
Supervisory Case Manager
2 days ago
Volunteers of America Denver, United StatesWHO WE ARE: Volunteers of America Colorado is a nonprofit, faith-based organization dedicated to helping those in-need transform their lives. Through more than 50 distinct human service programs, Volunteers of America changes the lives of more than 140,000 vulnerable Coloradoans ...
-
Outreach Case Manager
1 day ago
Color Genomics Denver, United StatesThe Colorado Coalition for the Homeless seeks an · Outreach Case Manager · who will operate in a close team model within a larger collaborative of fellow case managers, outreach workers, outreach behavioral health navigators, street medicine nurses, and other service providers ...
Nurse Case Manager ll - Denver, CO, United States - Elevance Health
Description
Nurse Case Manager ll (9am - 6pm Central Time)
Description
Nurse Case Manager ll (9am - 6pm Central Time) JR115052
Location :
Telephonic role. Must reside within 50 miles / 1 hour commute of a relevant Elevance Health office (PulsePoint.)
Required work hours : 10am - 7pm Eastern Time, Monday - Friday
The Nurse Case Manager ll 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 the progress of care plans designed to optimize member health care across the care continuum.
Primary duties may include, but are not limited to:
Minimum Requirements:
Preferred Qualifications:
Locations :
Colorado; Nevada; 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 .
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with 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.
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.
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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.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. 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.
Nurse Case Manager ll professionals in Denver
-
Jeff Kline
CEO/COO
-
Julie Johnson
Software Quality Assurance
-
Mike Rafferty
Senior Sales Executive
-
Haley Pierce
Marketing & Branding Specialist