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RN Transplant Nurse II (weekends) - Remote Eligible
Develop and implement individualized care management plans for transplant patients.
Remote
Mid-Level
2 weeks ago
Elevance Health
Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.
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✨ About The Role
- The RN Transplant Nurse II will provide case management and medical management for members receiving transplant services.
- Responsibilities include conducting assessments to identify individual needs and developing care management plans.
- The role involves coordinating internal and external resources to meet identified needs and monitoring the effectiveness of care management plans.
- The nurse will collaborate with healthcare providers and members to promote quality outcomes and optimize member benefits.
- The position requires conducting pre-certification and treatment setting reviews to ensure compliance with medical policies and member eligibility.
âš¡ Requirements
- The ideal candidate will have an Associate's degree in nursing and at least three years of clinical experience.
- A current unrestricted RN license in the applicable state(s) is required for this position.
- Previous dedicated transplant experience is essential for success in this role.
- Experience in case management and/or medical management is highly desired.
- The candidate should possess the ability to interpret and apply member contracts and managed care products effectively.
About Elevance Health
Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.