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RN Nurse Case Manager II (10:30am – 7:00pm Central Time) - Remote Eligible

Develop and implement care management plans for members with complex health needs.
St. Louis, Missouri, United StatesWest Des Moines, Iowa, United StatesKnoxville, Tennessee, United StatesMetairie, Louisiana, United StatesBaton Rouge, Louisiana, United States
Mid-Level
1 week ago
Elevance Health

Elevance Health

Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.

Job is no longer active
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✨ About The Role

- The RN Nurse Case Manager II will work Monday to Friday from 10:30 am to 7:00 pm Central Time, primarily in a telephonic capacity. - Responsibilities include assessing, developing, implementing, coordinating, monitoring, and evaluating care plans for members with complex and chronic care needs. - The role involves conducting assessments to identify individual needs and creating specific care management plans. - The Nurse Case Manager will coordinate internal and external resources to meet identified needs and monitor the effectiveness of care management plans. - The position requires interfacing with Medical Directors and Physician Advisors to develop treatment plans and assist in problem-solving with providers and claims issues.

⚡ Requirements

- The ideal candidate will have a bachelor's degree in a health-related field and at least 5 years of clinical experience. - A current, unrestricted RN license in the state of residence is required, along with multi-state licensure or a compact license. - Candidates with certification as a Case Manager and formal case management experience within managed care or hospital settings will be preferred. - A strong clinical background in hospital settings such as ER, ICU, or Critical Care is essential for success in this role. - The successful candidate will be adept at telephonic care management and possess excellent communication skills to interact with members and healthcare providers effectively.
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RN Nurse Case Manager II (10:30am – 7:00pm Central Time) - Remote Eligible
St. Louis, Missouri, United States
Registered Nurse
Job is no longer active
About Elevance Health
Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.