Nurse Care Manager II (Bilingual Spanish Preferred)

About the role

The Nurse Care Manager II (Bilingual Spanish Preferred) is responsible for collaborating with health plan beneficiaries and/or providers to drive personalized health management and improve health outcomes for consumers.

Location

Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Schedule

9:00-6:00pm PST

How You Will Make An Impact

• Provide quality case management to health plan beneficiaries to assess, plan, and support improvement in member’s functioning and health outcomes
• Affords members in identifying appropriate medical needs, ensuring access to resources and services, address social determinants of health, and facilitate safe care transitions
• Coordinates with internal and external partners to collaborate on members’ care
• May be required to obtain licenses in multiple states to better support members across the country
• Conducts clinical assessment to develop goals that address individual needs in order to develop a care plan; implements and coordinates a care plan
• Makes sure the care management plan is effective and modifies as necessary. Assists with development of case management policies and procedures
• Participates in or leads intradepartmental teams, projects, and initiatives

Minimum Requirements

• Requires a HS diploma or equivalent and a minimum of 3 years of acute care clinical experience, condition specific clinical experience, home health/discharge planning experience and a minimum of 1 year in a Nurse Care Mgr I role or equivalent experience; or any combination of education and experience, which would provide an equivalent background
• Current, unrestricted RN license in applicable state(s) required

Preferred Skills, Capabilities, And Experiences

• AS or BS in nursing preferred
• Certification as a Case Manager is preferred
• Prior managed care experience preferred
• Knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products strongly preferred
• Bilingual Spanish preferred

Benefits

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $41.84 - $52.30
Locations: California
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Pay

The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Elevance Health

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Our Culture

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.

Hybrid Workforce Strategy

Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.

COVID-19 Vaccination Requirement

Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws. Applicants who are not vaccinated will not be considered for employment unless they provide an acceptable explanation.