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
...Job Description Job Description Eagle Environmental, Inc. Eagle Environmental, Inc. is actively pursuing candidates for environmental consultant openings within the firm. Applicants must have a Bachelor of Science degree with a concentration in environmental or...
...CPA or Enrolled AgentWe are looking to add an experienced accountant to our team in the Winner office. We want an independent worker looking for a fastpaced work environment that includes working in a variety of areas such as tax, accounting, and bookkeeping. Our office...
...field; or6+years direct experience supporting Cisco network design.Exceptional degree of customer-service orientationSecurity+ and CCNA certifications required.CCNP certification a plusPrior Military experience preferredMust have active DoD Secret clearanceWe are an...
Full Time Positions AvailableThe Cleaning Authority is hiring for full time positions. We offer the highest pay for cleaning in the area!Are you tired of retail and fast food hours? Want your nights and weekends back? Would you like to be home during the holidays? You ...
...simulcasting year-round. Located in New Orleans, Fair Grounds operates a slot-machine gaming facility and 13 off-track betting parlors... ...southeast Louisiana.JOB SUMMARY Setup and operate television cameras daily for Fair Grounds live and taped simulcast production. In...