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RN Case Mgr Home Health
1 week ago
Ohio Living Akron, United StatesOverview · You've got the skills to bring health care home. · You know that people feel better when they're at home, and you're passionate about bringing nursing care to your patient's front door. You pride yourself on your ability to think on your feet and deliver expert care o ...
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RN Case Mgr Home Health
1 week ago
Ohio Living Willoughby, United StatesOverview · You've got the skills to bring health care home. · You know that people feel better when they're at home, and you're passionate about bringing nursing care to your patient's front door. You pride yourself on your ability to think on your feet and deliver expert care o ...
Nurse Case Mgr II - Seven Hills, United States - Elevance Health
Description
WARNING:
Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies.
Elevance Health requires a completed online application for consideration of employment for any position.We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.
Nurse Case Mgr II (US)Job Family:
MED > Licensed Nurse
Type:
Full time
Date Posted:
Apr 29, 2024
Anticipated End Date:
May 27, 2024
Reference:
JR114668
Location:
GA, ATLANTA
Kentucky, Louisville
Indiana, Indianapolis
IN, INDIANAPOLIS
OH, MASON
Ohio, Seven Hills
Ohio, Mason
OH, SEVEN HILLS
Description
Location:
This position can sit anywhere in the US in accordance with our Hybrid Workforce policy. Ideally the candidate will sit within 50 miles of an Elevance Pulsepoint location.
At the time of writing, this position is expected to report to a Pulsepoint once a week (subject to future change).
The Nurse Care 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.
Primary duties may include, but are not limited to:
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.
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.
For URAC accredited areas the following applies:
Requires a BA/BS and minimum of 5 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background.
Current and active RN license required in applicable state(s). Multi-state licensure is required if this individual is providing services in multiple states.Preferred Experience
Certification as a Case Manager is preferred.
BS in a health or human services related field preferred.
Experience documenting with care management platforms is preferred.
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.
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