FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Nurse Case Manager I
Elevance Health. Perform care management within scope of licensure for members with complex and chronic care needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management for members with complex and chronic needs, including assessment, care plan development, and coordination of services. Holds a current RN license and possesses strong problem-solving skills in clinical settings.
Highest-signal resume keywords
Care ManagementRN LicenseClinical ExperienceCase Management CertificationAssessment and Care Plan Development
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care Plan CoordinationDischarge PlanningAssessment and EvaluationAuthorization FacilitationReimbursement Negotiation
Soft Skills
Problem SolvingCommunicationCollaboration
Certifications & Qualifications
Case Manager Certification
Industry Keywords
Chronic Care ManagementHealth ServicesMulti-State LicensurePatient CareHealth Needs Assessment
About the role
Key responsibilities & impact- Perform care management within scope of licensure for members with complex and chronic care needs
- Assess, develop, implement, coordinate, monitor, and evaluate care plans across the care continuum
- Perform duties telephonically or on-site, including at hospitals for discharge planning
- Ensure member access to services appropriate to health needs
- Conduct assessments and create care management plans addressing identified objectives and goals
- Facilitate authorizations and referrals within the benefits structure or through extra-contractual arrangements
- Coordinate internal and external resources to meet identified needs
- Monitor and evaluate care plan effectiveness and modify plans as necessary
- Interface with Medical Directors and Physician Advisors on care management treatment plans
- Negotiate reimbursement rates when applicable
- Assist with provider, claims, or service-issue problem solving
Requirements
What you’ll need- BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience providing an equivalent background
- Current, unrestricted and active RN license in applicable state(s)
- Multi-state licensure required when providing services in multiple states
- Certification as a Case Manager preferred
- BS in a health or human services-related field preferred
- Ability to work Monday–Friday, 9:00am–5:30pm CST
- Candidates must reside within reasonable commuting distance from a posting location unless accommodation is granted by law
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, subject to stated exceptions
Benefits
Comp & perks- $3000 sign-on bonus
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution and match
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical, dental, and vision benefits
- Short- and long-term disability benefits
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Virtual full-time work, except for required in-person training sessions