Nurse Care Mgr Sr (US) at Elevance Health in St. Louis, Missouri

Job Description:

The Nurse Care Mgr Sr responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs. Primary duties may include, but are not limited to:

• Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, out of network services, and appropriateness of treatment setting and level of care.


• Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance.


• Collaborates with providers to assess consumer needs for early identification of and proactive planning for discharge.


• Implements and coordinates a care plan; monitors and evaluates effectiveness of the care management plan and modifies as necessary.


• Serves as resource to lower-level nurses; functions as preceptor for new care management staff.


• Assists with development of care management policies, procedures, and new programs.


• Participates in or leads intradepartmental and cross-functional teams, projects and initiatives, process improvement activities.


• Serve as departmental liaison to other areas of the business unit and/or cross brand workgroups.

Requirements:

• a HS diploma or equivalent and a minimum of 5 years of acute care clinical experience, condition specific clinical experience, home health/discharge planning experience, case management experience, disease management experience and minimum of 1 year in Nurse Care Mgr II role or equivalent experience; or any combination of education and experience, which would provide an equivalent background.


• Current, active valid unrestricted RN license in applicable state(s) required.


• Multi-state licensure is required if this individual is providing services in multiple states.


• AS or BS in nursing preferred.


• Certification as a Case Manager is preferred.


• Certification in the American Association of Managed Care Nurses preferred.


• Broad clinical knowledge base of disease processes strongly preferred.


• Prior managed care and case management experience preferred.

• Knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products strongly preferred.

For candidates working in person or remotely in the below location(s), the hourly range for this specific position is $37.58 - $46.98


Locations: Colorado


In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.


* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Apply Now