Nurse Case Manager I

About This Role The Nurse Case Manager I will perform care management for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans. This role is ideal for experienced nurses looking to make a significant impact on member health care. Highlights Pay: Location: St. Louis, MO Sign-On Bonus: $3000 Schedule: Monday - Friday 9:00am - 5:00pm CST What You'll Do Ensure member access to services appropriate to their health needs. Conduct assessments to identify individual needs and develop care management plans. Implement care plans by facilitating authorizations/referrals as appropriate. Coordinate internal and external resources to meet identified needs. Monitor and evaluate the effectiveness of care management plans and modify as necessary. Interface with Medical Directors and Physician Advisors on care management treatment plans. Negotiate rates of reimbursement, as applicable. Assist in problem solving with providers, claims, or service issues. Requirements Education BA/BS in a health-related field required Experience Minimum of 3 years of clinical experience required Licenses & Certifications Current, unrestricted RN license in applicable state(s) required Multi-state licensure required if providing services in multiple states Certification as a Case Manager preferred Benefits Merit increases Paid holidays and Paid Time Off Medical, dental, and vision benefits Short and long-term disability benefits 401(k) + match Stock purchase plan Life insurance Wellness programs and financial education resources About Elevance Health Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. They are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels who are passionate about making an impact on their members and the communities they serve. #J-18808-Ljbffr IntelliResume