Telephonic Nurse Case Manager I

Telephonic Nurse Case Manager I

04 Oct 2024
Indiana, Indianapolis, 46201 Indianapolis USA

Telephonic Nurse Case Manager I

Telephonic Nurse Case Manager ILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday - Friday 9:00am - 5:30pm with 2-4 late evening shifts per month 11:30am to 8pm EST.This position will service members in different states; therefore, Multi-State Licensure will be required.The Telephonic 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.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.

Preferred Capabilities, Skills and Experiences:

Certification as a Case Manager.

For candidates working in person or remotely in the below location(s), the salary range for this specific position is $67,116 to $110,262.Locations: California; Colorado; Maryland; New YorkIn 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 AreElevance 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 WorkAt 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. 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. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Related jobs

  • Telephonic Nurse Case Manager II

  • We are looking for a Case Manager RN to join us in leading our organization forward.

  • Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

  • RN Nurse Manager, Surgery Center North

  • The Assistant Manager is a positive, high-energy, customer-focused position. You are provided with the opportunity to grow as an individual and team member in the tire and automotive industry. Job Details: What you\'ll do: Build customer relationships Assess customers\' needs and provide Belle Tire solutions according to their needs Follow Belle Tire\'s Sales Process Manage a cash drawer; cash customers out and maintain daily cash reconciliation Meet and exceed defined goals and objectives Direct the workflow in the service department Handle day to day paperwork involved with retail operations Work well in a team environment with a positive attitude Do the right thing for the customers, employees, and vendors Continuous thinking and sharing of ideas to improve Belle Tire Other duties as assigned by manager Requirements: 18 years of age Valid drivers\' license High School Diploma/GED is required Ability to communicate clearly and professionally with co-workers, management and customers. Ability to lift an object weighing up to 75 pounds Varying work hours, Mon-Sat, some overtime may be required. Workshop environment, with heavy physical requirements and long periods of standing. Job Benefits: Company contributions to 401k Product and service discounts Flexible paid time off Competitive health insurance for eligible employees Opportunities for career advancement with an outstanding family company About Us: Belle Tire was established over 100 years ago with the belief that customer satisfaction must always be the bottom line. As a family owned company with over 175 retail locations and over 3000 employees in Michigan, Indiana, Illinois and Ohio, we give our neighbors peace of mind and trust that we will get them back on the road fast and affordably. Belle Tire provides tire and automotive services including shocks and struts, oil changes, brakes, batteries, auto glass and more with an in-store experience that far exceeds a traditional garage. Belle Tire is an equal opportunity employer. At Belle Tire we are committed to treating all applicants and employees fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, religion, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

  • Specialty/Competency: Data, Analytics & AI

  • Overview

Job Details

Jocancy Online Job Portal by jobSearchi.