Job Details

ID #3441076
Estado Kansas
Ciudad Overlandpark
Full-time
Salario USD TBD TBD
Fuente Anthem, Inc.
Showed 2020-02-21
Fecha 2020-02-22
Fecha tope 2020-04-22
Categoría Etcétera
Crear un currículum vítae

Nurse Case Manager I/II/Sr.-REMOTE; must work in MST

Kansas, Overlandpark 00000 Overlandpark USA

Vacancy caducado!

Nurse Case Manager I/II/Sr.-REMOTE; must work in MSTLocation: United StatesNewRequisition #: PS33685Your Talent. Our Vision . At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join usand together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve.Nurse Case Manager I/II/SrLocation: REMOTEWork schedule: 9:00-7:00 pm MSTResponsible for performing care management within the scope of licensure for members with complex and chroniccare needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.Performs duties telephonically.Primary duties may include, but are not limited to: Ensures member access to services appropriate to their health needs.Conducts assessments to identify individual needs and a specific care management plan to address objectives and goalsas identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefitsstructure or through extra-contractual arrangements.Coordinates internal and external resources to meet identified needs.Monitors and evaluates effectiveness of the care management plan and modifies as necessary.Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.Assists in problem solving with providers, claims or service issues.NURSE CASE MANAGER I:Requires a BA/BS in a health related field; 3 years of clinical experience; or any combination of education and experience,which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multistate licensure is required if this individual is providing services in multiple states.Certification as a Case Manager is preferred.NURSE CASE MANAGER II:Requires a BA/BS in a health related field; 5 years of clinical experience; or any combination of education and experience,which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required.Multistate licensure is required if this individual is providing services in multiple states.Certification as a Case Manager is preferred.NURSE CASE MANAGER SR:Requires a BA/BS in a health related field; graduate degree preferred, 5 years of clinical experience; or any combinationof education and experience, which would provide an equivalent background. Current, unrestricted RN license inapplicable state(s) required.Multistate licensure is required if this individual is providing services in multiple states.Certification as a Case Manager preferred.May be hired as a Nurse Case Manager I, II or Sr. depending upon level of education and relevant experience and salary will reflect the specific job levelAnthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com.An Equal Opportunity Employer/Disability/Veteran.Anthem BenefitsWe provide a comprehensive benefits package, including generous PTO, medical, dental and vision plans, 401(k) with amatch, education assistance, and much more. EOE Dedicated to diversity.

Vacancy caducado!

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