Manager II Case Management (US)

Elevance Health

100d

About The Position

The Manager II Case Management is responsible for managing a team of nurse care managers engaged in assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Requirements

• Requires BA/BS in a health related field.
• Minimum of 5 years of clinical experience which includes a minimum of 2 years prior management experience.
• Current, unrestricted RN license in applicable state(s) required.

Nice To Haves

• Certification as a Case Manager is preferred.
• BS in a health or human services related field is preferred.
• Managed Care experience is preferred.

Responsibilities

• Responsible for process improvement, quality assurance, and adherence to appropriate medical policy, care management best practices, relevant clinical standards, and member contract.
• Serves as mentor to lower leveled managers and as subject matter expert for other areas of the company and within the department.
• Manages multiple functions requiring unique sets of knowledge or has significant fiscal accountability.
• Develops and manages annual operating budget.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical, dental, vision benefits
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees