9 Nurse Case Manager I Jobs in Wilmington, DE
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Elevance Health is Hiring a Nurse Case Manager I Near Wilmington, DE
Shift: Monday – Friday; 9:00am – 5:30pm ET; Must be able to work some evenings
The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
How You Will Make An Impact
- 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 goals as identified during assessment.
- Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure 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.
- Requires BA/BS in a health related field and minimum of 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.
- Multi-state licensure is required if this individual is providing services in multiple states.
- Certification as a Case Manager is preferred.
- Oncology or home care experience preferred.
- Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background.
- Current and active RN license required in applicable state(s).
- Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager and a BS in a health or human services related field preferred.
- 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.
Job Summary
Full Time
$91k-110k (estimate)
09/08/2024
09/08/2024
The job skills required for Nurse Case Manager I include Care Management, Problem Solving, Home Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Nurse Case Manager I. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Nurse Case Manager I. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Nurse Case Manager I positions, which can be used as a reference in future career path planning. As a Nurse Case Manager I, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Nurse Case Manager I. You can explore the career advancement for a Nurse Case Manager I below and select your interested title to get hiring information.
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