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Job description
About This Role
The RN Case Manager – Telephonic / Field role involves managing care for members with complex and chronic needs in South Central and South West Kansas. This position is ideal for experienced nurses who thrive in a field-based environment and are committed to optimizing member health care.
Highlights
Location: Overland Park, KS
Schedule: Full-time, Monday through Friday, 8am – 5pm
What You'll Do
Perform care management within the scope of licensure for members with complex and chronic care needs.
Conduct assessments virtually and in person to identify individual needs.
Develop and implement care management plans to address objectives and goals.
Facilitate authorizations/referrals as appropriate within benefits structure.
Coordinate internal and external resources to meet identified needs.
Monitor and evaluate the effectiveness of care management plans.
Interface with Medical Directors and Physician Advisors on treatment plans.
Negotiate rates of reimbursement as applicable.
Assist in problem solving with providers, claims, or service issues.
Travel 10-15% within South Central to South West Kansas to visit members.
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 the state of Kansas required
Benefits
Merit increases
Paid holidays and Paid Time Off
Medical, dental, and vision benefits
Short and long-term disability benefits
401(k) with 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 while making healthcare simpler. As a Fortune 25 company, they are committed to creating a culture that fosters personal and professional growth for their associates.
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Worksite address
overland park, KS, 66213, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.