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3h ago Curated

RN Case Manager – Telephonic / Field - South Central and South West Kansas

Elevance Health

Job description

The Nurse Case Manager for Kansas Medicaid performs care management for members with complex and chronic care needs. Responsibilities include assessing, developing, implementing, coordinating, monitoring, and evaluating care plans. Conducts assessments telephonically and on-site at hospitals, community centers, and homes for care coordination and discharge planning. Ensures member access to services, implements care plans via authorizations/referrals, coordinates internal/external resources, monitors effectiveness, and interfaces with Medical Directors. Requires BA/BS in health-related field and 3+ years clinical experience. Current unrestricted RN license in Kansas required. Travel 10-15% in South Central to South West Kansas. Mileage reimbursed.

Key responsibilities

  • Perform assessments virtually and in person to identify member needs
  • Develop and implement care management plans
  • Coordinate internal and external resources
  • Monitor and evaluate care plan effectiveness
  • Interface with Medical Directors and Physician Advisors

What you bring

  • Active unrestricted RN license in Kansas
  • 3+ years clinical experience
  • Computer proficiency preferred

Tags

Field-basedKansas MedicaidCase ManagementTelephonic

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