Manager II Case Management (US)

Elevance Health • Louisville, KY

12d • Hybrid

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.

Requirements

• Requires BA/BS in a health related field and minimum of 5 years of clinical experience which includes a minimum of 2 years prior management experience; or any combination of education and experience, which would provide an equivalent background.
• 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.
• Managers who have directly supervised the case management process for 3 or more years are expected to hold a certification as a case manager and meet continuing education requirements to maintain licensure and certification.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees