Nurse Case Mgr I, 8a-5p M-F CT: CA, CO, NM, TX OR WA License Required, Remote Nationwide To Support, EST, MST and PST Time Zones

Anthem, Inc in Tampa, FL

  • Industry: Healthcare - Nursing - Others
  • Type: Full Time
position filled
Nurse Case Mgr I, 8a-5p M-F CT: CA, CO, NM, TX OR WA License Required, Remote Nationwide To Support, EST, MST and PST Time Zones **Location:** **United States** **Requisition #:** PS23893 **Post Date:** Jul 15, 2019 _Your 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 us and 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 at one of America's leading health benefits companies and a Fortune Top 50 Company. **Location:** **_This is a remote position to support ET, MT and PT Time Zones_** 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. **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 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. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + 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 Colorado or Texas (where you reside) required. **Preferred** + Certification as a Case Manager **_Anthem, 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_** </script>

You may be interested in these similar jobs!
Entry Level Sales Representatives - Base Plus Commission
TruGreen in Tampa, FL

NOW HIRING – Multiple Openings for Residential Sales Representatives – Same Day Job Offers! Are you ready to plant your career where it can thrive? T…

Read More
Ab Initio Developer
Avance Consulting in Tampa, FL

Position: AB Initio Developer Location: Atlanta, GA, Tukwila, WA, Westlake, TX, Houston, TX, Charlotte NC, Irving, TX, Hartford, CT, Springfield, MA,…

Read More
Radiology Technologist I Pool
BayCare in Plant City, FL

The Radiology Technologist I - Pool performs diagnostic radiographic and fluoroscopic procedures. May perform minor invasive procedures and support o…

Read More
Locum Dentist needed in Panhandle of Florida, Referral bonus available! Contact Heather@ElevateHealthcare- Locums/Travel (Largo)
Elevate Healthcare Consultants in Largo, FL

General Dentistry opening in , Florida. This and other dentist jobs brought to you by DentistJobCafe.comDentist needed in the Panhandle of Florida, a…

Read More
Remote RN Case Manager - Telephonic Nurse 2 - Special Needs Program
Humana in Tampa, FL

Job OverviewHumana At Home is a division of Humana that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care …

Read More
Full Stack Engineer (React & Node)
Accenture in Tampa, FL

Job Description Are you a passionate Full Stack JavaScript engineer that loves to build both backend and frontend using frameworks like Angular,…

Read More
Remote English Teacher
Education First in Saint Petersburg, FL

Work-from-Home Online Teaching Opportunity Control your days, work remotely, AND change lives Teach English online to kids in China ages 6 to 10 with…

Read More
Permanent Pathology Physician in Florida (Saint Petersburg)
Recruitwell in Saint Petersburg, FL

Pathology physician job in Florida : Fort Myers, Florida, Pathology Opportunity Clinical Role: Seeking board certified or truly board eligible pathol…

Read More
K12 Online English Teacher (Up to $20USD/hr)
Qkids in Lakeland, FL

About Qkids Qkids is a leading online education platform that connects North American English teachers with over 600,000 Chinese students from ages 4…

Read More
Hadoop/Bigdata Developer
Avance Consulting in Tampa, FL

Position: Tech Lead - Big Data/Hadoop Location: Atlanta, GA, Austin, TX, Charlotte, NC, Chicago, IL, Dallas, TX, Hartford, CT, Jersey City, NJ, Ph…

Read More
Online English Teacher - Start at $20 per hour!
Education First in Tampa, FL

Work-from-Home Online Teaching Opportunity Control your days, work remotely, AND change lives Teach English online to kids in China ages 6 to 10 with…

Read More