Nurse Case Mgr I
Company: Elevance Health
Location: Glendale
Posted on: January 27, 2023
Job Description:
Nurse Case Mgr I
- Job Family: Medical and Clinical
- Type: Full time
- Date Posted:Jan 03, 2023
- Req #: JR44997Location:
- CA, Woodland Hills
- California, CaliforniaDescriptionTitle: Nurse Case Manager
ILocation: Fully remote, must reside in CaliforniaWorking Hours:
Mon - Fri 8AM-5PM PSTMust have licensure in California.The use of
this job is limited to non-CareMore business units. If you believe
this to be the best match for your position, please consult with
your Human Resources partner prior to using this job (HRBP should
work with Compensation).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 California.Preferred
Qualifications:
- Case Management experience is a plus.
- Certification as a Case Manager is preferred.
- Managed care experience is preferred.
- Computer Literacy is strongly preferred.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. Current and active RN
license required in applicable state(s). Multi-state licensure is
required if this individual is providing services in multiple
states. Certification as a Case Manager and a BS in a health or
human services related field preferred.For candidates working in
person or remotely in the below locations, the salary* range for
this specific position is $66,264 to $108,432.Locations:
CaliforniaIn 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 Companys sole discretion,
consistent with the law.Please be advised that Elevance Health only
accepts resumes from agencies that have a signed agreement with
Elevance Health. Accordingly, Elevance Health is not obligated to
pay referral fees to any agency that is not a party to an agreement
with Elevance Health. Thus, any unsolicited resumes, including
those submitted to hiring managers, are deemed to be the property
of Elevance Health.Be part of an Extraordinary TeamElevance Health
is a health company dedicated to improving lives and communities
and making healthcare simpler. Previously known as Anthem, Inc., we
have evolved into a company focused on whole health and updated our
name to better reflect the direction the company is heading.We are
looking for leaders at all levels of the organization who are
passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?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.The health of our associates and communities is a top
priority for Elevance Health. We require all new candidates to
become vaccinated against COVID-19. If you are not vaccinated, your
offer will be rescinded unless you provide and Elevance Health
approves a valid religious or medical explanation as to why you are
not able to get vaccinated that Elevance Health is able to
reasonably accommodate. Elevance Health will also follow all
relevant federal, state and local laws.Elevance Health has been
named as a Fortune Great Place To Work in 2021, is ranked as one of
the 2021 Worlds Most Admired Companies among health insurers by
Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity
and Inclusion. To learn more about our company and apply, please
visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.EEO is
the LawEqual Opportunity Employer / Disability / VeteranPlease use
the links below to review statements of protection from
discrimination under Federal law for job applicants and employees.
- EEO Policy Statement
- EEO is the Law Poster
- EEO Poster Supplement-English Version
- Pay Transparency
- Privacy Notice for California ResidentsElevance Health, Inc. is
an E-verify EmployerNeed Assistance?Email us
(elevancehealth@icareerhelp.com) or call 1-877-204-7664
Keywords: Elevance Health, Glendale , Nurse Case Mgr I, Healthcare , Glendale, Arizona
Didn't find what you're looking for? Search again!
Loading more jobs...