Nurse Case Manager I

We are seeking a compassionate and dedicated Nurse Case Manager to join our growing team at Elevance Health. As a Nurse Case Manager I, you will play a crucial role in providing comprehensive and individualized care to our patients. Your primary responsibility will be to assess, plan, and coordinate patient care to ensure the best possible outcomes. We are looking for individuals who are passionate about patient advocacy and have excellent communication and critical thinking skills. If you are a registered nurse with a strong background in case management, we encourage you to apply for this rewarding opportunity.

1. Assess patient needs and develop individualized care plans to meet their specific needs.
2. Coordinate with healthcare team members to ensure continuity of care and effective communication.
3. Advocate for patients and serve as a liaison between patients, families, and healthcare providers.
4. Monitor patient progress and make necessary adjustments to their care plan.
5. Educate patients and families on disease management, treatment options, and self-care techniques.
6. Collaborate with insurance companies and other third-party payers to ensure proper coverage for services.
7. Document patient interactions and maintain accurate records in compliance with HIPAA regulations.
8. Identify potential risk factors and develop strategies to prevent complications and readmissions.
9. Conduct regular assessments to evaluate the effectiveness of the care plan and make changes as needed.
10. Stay up-to-date on current healthcare policies and regulations related to case management.
11. Serve as a resource and mentor for other healthcare team members.
12. Maintain a high level of professionalism and confidentiality in all interactions with patients and colleagues.
13. Participate in meetings and conferences to discuss patient cases and collaborate on treatment plans.
14. Continuously strive to improve the quality of patient care and outcomes.
15. Adhere to ethical and legal standards in all aspects of job performance.

According to JobzMall, the average salary range for a Nurse Case Manager I in St. Louis, MO, USA is $67,000-$85,000 per year. This salary range can vary depending on factors such as experience, education, and specific job responsibilities. Additionally, the specific employer and location can also impact the salary range for this position.

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.