Telephonic Nurse Case Manager I Location: Work virtually full‑time with required in‑person training sessions. Hybrid/virtual policy applies. Work schedule: Monday to Friday 9:00 AM – 5:30 PM EST with 2–4 late evening shifts per month 11:30 AM – 8:00 PM EST. Responsibilities Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and develop a care management plan. Implements care plan by facilitating authorizations/referrals as appropriate. 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 care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Minimum Requirements BA/BS in a health‑related field and minimum 3 years of clinical experience (or equivalent combination). Current unrestricted RN license in applicable state(s). Multi‑state licensure required if services provided in multiple states. Preferred Capabilities, Skills and Experiences Certification as a Case Manager. EEO Statement Elevance Health is an Equal Employment Opportunity employer; all qualified applicants receive consideration for employment without regard to protected status. Applicants who require accommodation may contact jobssupport@elevancehealth.com for assistance. #J-18808-Ljbffr Elevance Health
...School Diploma or equivalent required. College degree in early childhood education preferred WorkJob: Guest Services and Hotel Schedule: Regular|Full-time / part timeShift: Open AvailabilityPlease visit to view full details and to apply. Lots of jobs to choose from!
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...information to the Project Center.Qualifications Skills:Minimum education experience required: Bachelors DegreeAreas of Expertise: Expert Excel focus macros 2 to 4 YearsSoftware Skills: MS Excel Advanced 2 to 4 YearsAdditional Note: This is a contract position.#J-...