Manager I Case Mgmt

Elevance Health•Atlanta, MO

1d•Hybrid

About The Position

The Manager I Case Management is a people leadership role responsible for managing a team of nurse care managers. The team assesses, develops, implements, coordinates, monitors, and evaluates care plans to optimize member health care across the care continuum and ensure members have access to services appropriate to their health needs. The role oversees process improvement, quality assurance, and adherence to medical policy, care management best practices, relevant clinical standards, and member contracts. It also hires, trains, coaches, counsels, and evaluates direct reports. Managers who have directly supervised the case management process for three or more years are expected to hold case manager certification and meet continuing education requirements to maintain licensure and certification. This is a hybrid role requiring associates to work in-office three days per week. Candidates must live within a reasonable commuting distance of an office, unless an accommodation is granted as required by law. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m. Central Time. Alternate locations may be considered for candidates within commuting distance of an office. The listed salary range for Illinois and New York is $98,700 to $155,100.

Requirements

Bachelor’s degree in a health-related field and at least five years of clinical experience, or an equivalent combination of education and experience.
Current, unrestricted RN license in the applicable state(s).

Nice To Haves

People leadership and/or people management experience is highly preferred.
Case Management experience is highly preferred.
Certification as a Case Manager.

Responsibilities

Manage a team of nurse care managers.
Oversee assessment, development, implementation, coordination, monitoring, and evaluation of member care plans across the care continuum.
Help ensure members have access to services appropriate to their health needs.
Oversee process improvement and quality assurance.
Ensure adherence to applicable medical policy, care management best practices, clinical standards, and member contracts.
Hire, train, coach, counsel, and evaluate the performance of direct reports.
For managers with three or more years of direct supervision of the case management process, maintain case manager certification and meet continuing education requirements.