Nurse Case Manager I
Elevance Health · St Louis, MO · 3 wk ago
HealthcareFull-time
We need to output HTML fragment with sections: About the role? The posting includes description of role, responsibilities, etc. We need to use for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections when posting has real specific content.
We have:
- Position Title: Nurse Case Manager I (but we do not repeat as heading)
- Sign-on Bonus: $3000 (this is a benefit/pay? It's a sign-on bonus, could be under Benefits or Pay. Since we have Pay section only if posting states pay; we have sign-on bonus, maybe treat as Benefits? Could also be under Pay. The instruction: "never create Pay/Schedule/Benefits sections unless the posting actually states them." The posting states Sign-on Bonus: $3000, which is a benefit/compensation. So we can include a Benefits section with that detail. Also we have Schedule: Monday - Friday 8:30am - 5:00pm CST. So we can include Schedule section.
- Location: 100 S 4th Street St. Louis, MO Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions... Also note about commuting distance. This is location info; could be part of About the role or maybe a separate section? Not required headings; we can embed in About the role paragraph.
- Responsibilities: The bullet list after "The Nurse Case Manager I (US) will be responsible for performing care management..." and then "How You Will Make An Impact" list. Those are responsibilities. We'll put under Responsibilities
for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections when posting has real specific content.
We have:
- Position Title: Nurse Case Manager I (but we do not repeat as heading)
- Sign-on Bonus: $3000 (this is a benefit/pay? It's a sign-on bonus, could be under Benefits or Pay. Since we have Pay section only if posting states pay; we have sign-on bonus, maybe treat as Benefits? Could also be under Pay. The instruction: "never create Pay/Schedule/Benefits sections unless the posting actually states them." The posting states Sign-on Bonus: $3000, which is a benefit/compensation. So we can include a Benefits section with that detail. Also we have Schedule: Monday - Friday 8:30am - 5:00pm CST. So we can include Schedule section.
- Location: 100 S 4th Street St. Louis, MO Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions... Also note about commuting distance. This is location info; could be part of About the role or maybe a separate section? Not required headings; we can embed in About the role paragraph.
- Responsibilities: The bullet list after "The Nurse Case Manager I (US) will be responsible for performing care management..." and then "How You Will Make An Impact" list. Those are responsibilities. We'll put under Responsibilities - .
- Requirements: Minimum Requirements section includes BA/BS, 3 years clinical experience, RN license, multi-state licensure if needed. Also repeated lines. We'll capture unique content.
- Preferred Skills: Certification as a Case Manager preferred, BS in health or human services related field preferred, 4 years of Oncology experience preferred. We'll put under Skills.
- Benefits: Besides sign-on bonus, there is also "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." That's benefits. Also mention Hybrid Workforce Strategy, vaccination requirement etc. Those could be part of Benefits or maybe separate but we can include in Benefits.
- Pay: Not explicitly stated besides sign-on bonus. No base salary. So we should not create Pay section.
- Schedule: Already have.
- About the role: Could include overview: "The Nurse Case Manager I (US) will be responsible for performing care management..." but that is more responsibilities. Maybe About the role could be a brief summary: "This role enables associates to work virtually full-time..." but that's location/virtual. Could combine.
We need to avoid boilerplate: remove EEO, legal, etc. Also remove duplicated lines.
We must preserve ALL substantive information; do not invent or summarize away detail. So we need to keep all details from the posting, but we can rephrase? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." Means we should not omit details, but we can reformat. We should keep the exact details, maybe copy sentences.
We need to output only HTML fragment, no markdown fences.
Let's structure:
About the role
...
But we need to decide content for About the role: maybe a brief description: "The Nurse Case Manager I (US) will be responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning." That's actually responsibilities. But we can put that under About the role as overview, and then Responsibilities section can list the impact bullet points.
Better: About the role: summary of role and virtual nature. Let's extract: "This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within commuting distance from an office 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." That's location/virtual details.
We also have location address: "100 S 4th Street St. Louis, MO". We'll include.
Thus About the role paragraph can include location, virtual/hybrid details.
Responsibilities: list from "How You Will Make An Impact" bullet points.
Requirements: Minimum Requirements (deduplicated). We'll list: BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states.
We have duplicate lines; we keep one.
Preferred Skills: Certification as a Case Manager preferred. Certification as a Case Manager and a BS in a health or human services related field preferred. 4 years of Oncology experience preferred.
We could combine: "Certification as a Case Manager preferred; Certification as a Case Manager and a BS in a health or human services related field preferred; 4 years of Oncology experience preferred."
Benefits: Sign-on Bonus: $3000. Plus total rewards: merit increases, paid holidays, Paid Time Off, 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. Also mention Hybrid Workforce Strategy (associates required to work at an Elevance Health location at least once per week, potentially several times per week). Vaccination requirement: all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza; if not vaccinated, offer rescinded unless acceptable explanation. Also note they follow federal, state, local laws.
We should include all that.
Schedule: Monday - Friday 8:30am - 5:00pm CST.
We must not include boilerplate like EEO, accommodation request, etc. Also remove lines about "Please be advised that Elevance Health only accepts resumes for compensation from agencies..." etc. Also remove "Who We Are", "How We Work", etc. Those are boilerplate? They are about company culture but maybe considered substantive? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." The "Who We Are", "How We Work" sections are not explicitly listed as boilerplate but could be considered generic company description. However they might be considered substantive? The instruction says to remove duplicated lines and application instructions, not necessarily company description. But we need to prefer few substantive sections over many thin ones. Including "Who We Are" and "How We Work" would add sections not in the allowed headings list (they are not among About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We could incorporate that info into About the role or Benefits? But they are not required headings; we could omit them as they are not specific to the role. The instruction: "Prefer a few substantive sections over many thin ones." So we likely should omit generic company description.
Thus we will not include sections for Who We Are, How We Work.
Now produce HTML.
We need to ensure we don't repeat job title as heading. We'll not.
We'll not include Job ID.
We'll output something like:
About the role
Position located at 100 S 4th Street, St. Louis, MO. This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within commuting distance from an office. Per 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.
Responsibilities
- Ensures member access to services appropriate to their health needs.
- Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
- Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
- Coordinates internal and external resources to meet identified needs.
- Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
- Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
- Negotiates rates of reimbursement, as applicable.
- Assists in problem solving with providers, claims or service issues.
Requirements
- BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
- Current, unrestricted RN license in applicable state(s) required.
- Multi-state licensure is required if this individual is providing services in multiple states.
Skills
- Certification as a Case Manager preferred.
- Certification as a Case Manager and a BS in a health or human services related field preferred.
- 4 years of Oncology experience preferred.
Benefits
- Sign-on bonus: $3,000.
- Market-competitive total rewards including merit increases, paid holidays, Paid Time Off, 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.
- Hybrid Workforce Strategy: associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Vaccination requirement: all new candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza; offers will be rescinded for non‑vaccinated candidates unless an acceptable explanation is provided.
- Compliance with all relevant federal, state, and local laws.
Schedule
Monday - Friday, 8:30 am – 5:00 pm CST.
Check for any duplicated content: we have not repeated.
We have not included Pay section (no base salary). Good.
We have not included Qualifications section (we have Requirements and Skills; Qualifications could be similar to Requirements but we already have Requirements; we could omit Qualifications to avoid thin section.
We have not included any boilerplate.
Now ensure we didn't miss any substantive info: The posting also had "Performs duties telephonically or on-site such as at hospitals for discharge planning." That is part of responsibilities but we didn't include that sentence. It's under the first paragraph after "The Nurse Case Manager I (US) will be responsible for performing care management...". We omitted that. We need to include that detail. Where to place? Could be part of Responsibilities list or About the role. Since it's a duty, we can add
About the role
...
But we need to decide content for About the role: maybe a brief description: "The Nurse Case Manager I (US) will be responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning." That's actually responsibilities. But we can put that under About the role as overview, and then Responsibilities section can list the impact bullet points. Better: About the role: summary of role and virtual nature. Let's extract: "This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within commuting distance from an office 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." That's location/virtual details. We also have location address: "100 S 4th Street St. Louis, MO". We'll include. Thus About the role paragraph can include location, virtual/hybrid details. Responsibilities: list from "How You Will Make An Impact" bullet points. Requirements: Minimum Requirements (deduplicated). We'll list: BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states. We have duplicate lines; we keep one. Preferred Skills: Certification as a Case Manager preferred. Certification as a Case Manager and a BS in a health or human services related field preferred. 4 years of Oncology experience preferred. We could combine: "Certification as a Case Manager preferred; Certification as a Case Manager and a BS in a health or human services related field preferred; 4 years of Oncology experience preferred." Benefits: Sign-on Bonus: $3000. Plus total rewards: merit increases, paid holidays, Paid Time Off, 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. Also mention Hybrid Workforce Strategy (associates required to work at an Elevance Health location at least once per week, potentially several times per week). Vaccination requirement: all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza; if not vaccinated, offer rescinded unless acceptable explanation. Also note they follow federal, state, local laws. We should include all that. Schedule: Monday - Friday 8:30am - 5:00pm CST. We must not include boilerplate like EEO, accommodation request, etc. Also remove lines about "Please be advised that Elevance Health only accepts resumes for compensation from agencies..." etc. Also remove "Who We Are", "How We Work", etc. Those are boilerplate? They are about company culture but maybe considered substantive? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." The "Who We Are", "How We Work" sections are not explicitly listed as boilerplate but could be considered generic company description. However they might be considered substantive? The instruction says to remove duplicated lines and application instructions, not necessarily company description. But we need to prefer few substantive sections over many thin ones. Including "Who We Are" and "How We Work" would add sections not in the allowed headings list (they are not among About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We could incorporate that info into About the role or Benefits? But they are not required headings; we could omit them as they are not specific to the role. The instruction: "Prefer a few substantive sections over many thin ones." So we likely should omit generic company description. Thus we will not include sections for Who We Are, How We Work. Now produce HTML. We need to ensure we don't repeat job title as heading. We'll not. We'll not include Job ID. We'll output something like:About the role
Position located at 100 S 4th Street, St. Louis, MO. This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within commuting distance from an office. Per 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.
Responsibilities
- Ensures member access to services appropriate to their health needs.
- Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
- Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
- Coordinates internal and external resources to meet identified needs.
- Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
- Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
- Negotiates rates of reimbursement, as applicable.
- Assists in problem solving with providers, claims or service issues.
Requirements
- BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
- Current, unrestricted RN license in applicable state(s) required.
- Multi-state licensure is required if this individual is providing services in multiple states.
Skills
- Certification as a Case Manager preferred.
- Certification as a Case Manager and a BS in a health or human services related field preferred.
- 4 years of Oncology experience preferred.
Benefits
- Sign-on bonus: $3,000.
- Market-competitive total rewards including merit increases, paid holidays, Paid Time Off, 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.
- Hybrid Workforce Strategy: associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Vaccination requirement: all new candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza; offers will be rescinded for non‑vaccinated candidates unless an acceptable explanation is provided.
- Compliance with all relevant federal, state, and local laws.
Schedule
Monday - Friday, 8:30 am – 5:00 pm CST.
Check for any duplicated content: we have not repeated. We have not included Pay section (no base salary). Good. We have not included Qualifications section (we have Requirements and Skills; Qualifications could be similar to Requirements but we already have Requirements; we could omit Qualifications to avoid thin section. We have not included any boilerplate. Now ensure we didn't miss any substantive info: The posting also had "Performs duties telephonically or on-site such as at hospitals for discharge planning." That is part of responsibilities but we didn't include that sentence. It's under the first paragraph after "The Nurse Case Manager I (US) will be responsible for performing care management...". We omitted that. We need to include that detail. Where to place? Could be part of Responsibilities list or About the role. Since it's a duty, we can add