About This Role The Telephonic Nurse Case Manager II is responsible for 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 Location: Indianapolis, IN Schedule: Full-time, Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST What You'll Do Assess individual needs and develop specific 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. Assist in problem solving with providers. Assist with the development of utilization/care management policies and procedures. Requirements Education: BA/BS in a health-related field required Experience: Minimum of 5 years of clinical experience required 2 years’ experience in acute care setting preferred 2 years’ telephonic Case Management experience with a Managed Care Company preferred 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 Paid Time Off Incentive bonus programs Medical, dental, vision benefits Short and long-term disability benefits 401(k) + match Stock purchase plan Life insurance Wellness programs 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 communities. #J-18808-Ljbffr
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