Nurse Case Manager I (US)

About This Role The Nurse Case Manager I (US) is responsible for performing care management for members with complex and chronic care needs, focusing on assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care. Highlights Pay: $70,560 - $88,200/year Location: Latham, NY Schedule: Monday - Friday; 8:00am - 4:30pm EST, with 2-4 required evening shifts per month 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 Comprehensive benefits package Incentive and recognition programs Equity stock purchase and 401k contribution 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 Elevance Health