Telephonic Nurse Case Manager Id-359

Job Description

Elevance Health is seeking a highly motivated, service-oriented Telephonic Nurse Case Manager to join our dynamic team. The ideal candidate will have an unwavering commitment to providing the best patient care and experience. You will be responsible for proactively managing the needs of the patient across the continuum of care, and working collaboratively with other healthcare providers.

To be successful in this role, you must possess a strong attention to detail, excellent communication and interpersonal skills, and a deep knowledge of medical terminology and the healthcare industry. The successful candidate will be required to have a current RN license, as well as a minimum of three years of experience in case management, population health, or utilization management.

Knowledge of case management software and EMR systems, as well as experience with managed care or payer based care, is preferred. We are looking for a team player who is passionate about providing excellent service to our patients and clients. If you have the necessary qualifications and you are ready to make a positive impact on the lives of our patients, we would love to hear from you!

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Responsibilities:

  • Monitor patient care across the continuum of healthcare services
  • Communicate and collaborate with other healthcare providers
  • Utilize case management software and EMR systems
  • Adhere to managed care and payer policies
  • Provide exceptional customer service to patients and clients
  • Maintain a professional and knowledgeable attitude with patients and families
  • Utilize medical terminology and clinical knowledge to assess patient needs
  • Follow up with patients post discharge
  • Conduct utilization review and address any gaps in service
  • Monitor patient progress and document all care and services provided to patients
  • Monitor patient outcomes and escalate any issues to the appropriate team

Job Qualifications

  • Ability To Work Independently And As Part Of A Team
  • Excellent Verbal And Written Communication Skills
  • Strong Organizational And Time Management Skills
  • And Health Insurance
  • Clinical Experience In A Direct Patient Care Setting
  • Knowledge Of Clinical Care
  • Care Management
  • Ability To Think Critically And Problem Solve
  • Knowledge Of Applicable State And Federal Regulations
  • Proficiency In Using Computers And Electronic Medical Records Systems

Required Skills

  • Documentation
  • Planning
  • Communication
  • Time Management
  • Interpersonal skills
  • Organizational Skills
  • Conflict Resolution
  • Compassion
  • Critical Thinking
  • Teamwork
  • Empathy
  • Coordination
  • Problem-Solving
  • advocacy
  • assessment

Soft Skills

  • Communication
  • Conflict Resolution
  • Leadership
  • Negotiation
  • Time management
  • Interpersonal Skills
  • Organizational skills
  • Teamwork
  • Adaptability
  • Problem-Solving

 

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