Elevance Health

Medical Management Nurse

Elevance Health

Atlanta, GA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Elevance Health is seeking a Medical Management Nurse to join our team and help ensure that our patients receive the highest quality of care. We are looking for an experienced and compassionate individual with excellent interpersonal and organizational skills. The Medical Management Nurse must be a licensed RN with a minimum of 5 years of experience in medical management. This individual must be able to effectively collaborate with internal and external stakeholders, while managing multiple projects and tasks simultaneously. The ideal candidate should have demonstrated experience in developing and implementing health plans, as well as excellent customer service skills. The Medical Management Nurse must have a passion for improving the health and overall well-being of our patients. This is a great opportunity for a motivated individual to make a positive impact on the lives of our patients.

Responsibilities:

  1. Develop and implement health plans for patients
  2. Monitor patient care and ensure that quality standards are being met
  3. Collaborate with internal and external stakeholders to provide the best possible care for patients
  4. Provide customer service to patients and families
  5. Manage multiple projects and tasks simultaneously
  6. Keep up to date with the latest trends in medical management
  7. Ensure compliance with all applicable laws and regulations
  8. Stay current on industry best practices
  9. Assist in the development and implementation of new programs and initiatives
  10. Utilize data to evaluate the effectiveness of health plans and services
  11. Maintain accurate records and documentation of patient care
Where is this job?
This job is located at Atlanta, GA, USA
Job Qualifications
  • Knowledge Of Medical Terminology

  • Ability To Work Independently And Collaboratively

  • Excellent Communication And Organizational Skills

  • Knowledge Of Medical Coding

  • Clinical Expertise

  • Bachelor's Or Master's Degree In Nursing

  • Experience In Medical Management

  • Knowledge Of Medical Reimbursement And Insurance Guidelines

Required Skills
  • Documentation

  • Quality Assurance

  • Training

  • Communication

  • Leadership

  • Collaboration

  • Regulatory compliance

  • Organization

  • Problem-Solving

  • Multi-tasking

  • Patient Advocacy

  • Time-Management

  • Operational Efficiency

  • Interpersonal Relations

  • Cost-Control

Soft Skills
  • Communication

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • creativity

  • Organization

  • flexibility

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a Medical Management Nurse in Atlanta, GA, USA is $78,000 to $94,000 per year. This salary range can vary depending on experience and qualifications.

Additional Information
Elevance Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedAugust 30th, 2023
Apply BeforeJune 21st, 2025
This job posting is from a verified source. 
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About Elevance Health

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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