OB/NICU/PEDs Nurse Case Manager I

We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections when posting has real specific content. Need to extract content. Let's parse posting: - Shift: Monday – Friday, 8:00am – 5:00pm EST - Location: North Carolina, Candidates must be within the state of North Carolina and have a current, unrestricted RN license for the state of North Carolina - Virtual: This role enables associates to work virtually full-time, with the exception of 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. 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 an accommodation is granted as required by law - The OB/NICU/PEDs Nurse Case Manager I is 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. - How You Will Make An Impact - 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. - Minimum Requirements - Requires 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. - Preferred Skills, Capabilities, And Experiences - Certification as a Case Manager is preferred. - For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. - Current and active RN license required in applicable state(s). - Multi-state licensure is required if this individual is providing services in multiple states. - Certification as a Case Manager and a BS in a health or human services related field preferred. - Who We Are (company description) - 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. - How We Work (culture) - At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. 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. Elevance Health operates in a 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. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. We need to remove boilerplate: EEO, legal, accommodation request, etc. Also remove duplicated lines. Also remove application instructions (none). Also remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. Thus we keep substantive info: shift, location, virtual description, role responsibilities, impact bullet list, minimum requirements, preferred skills, company description (Who We Are), culture/benefits (How We Work) maybe as Benefits? But we need to follow headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content. - About the role: could include shift, location, virtual description, role summary (OB/NICU/PEDs Nurse Case Manager I responsibilities). Could also include "Performs duties telephonically." So we can put that under About the role. - Responsibilities: the bullet list under "How You Will Make An Impact" (these are duties). Also maybe the earlier sentence about performing care management etc. But we can treat that as responsibilities. - Requirements: Minimum Requirements (education, experience, license, multi-state). Also maybe location and license specifics. - Qualifications: maybe Preferred Skills, Capabilities, And Experiences (certification, BS, etc.) Could also include "Current and active RN license" but that's already in requirements. - Skills: maybe certification as case manager preferred, BS in health/human services. - Benefits: from How We Work: market-competitive total rewards list: merit increases, paid holidays, Paid Time Off, incentive bonus programs, medical, dental, vision, short and long term disability benefits, 401(k)+match, stock purchase plan, life insurance, wellness programs, financial education resources. Also mention hybrid workforce strategy? Could be schedule? But schedule is separate. - Pay: Not mentioned. So we should NOT include Pay section. - Schedule: Shift: Monday – Friday, 8:00am – 5:00pm EST. Also mention virtual full-time except required in-person training. Could include schedule details. We must not create sections with filler like "not specified". So only include sections where we have real content. Thus sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Schedule. We need to output HTML fragment only, using

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• for lists. We must not repeat job title as heading. Not include Job ID. We must preserve all substantive information; do not invent or summarize away detail. So we need to keep details exactly as given, but we can format. Let's extract exact phrasing. About the role: - Shift: Monday – Friday, 8:00am – 5:00pm EST - Location: North Carolina, Candidates must be within the state of North Carolina and have a current, unrestricted RN license for the state of North Carolina - Virtual: This role enables associates to work virtually full-time, with the exception of 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. 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 an accommodation is granted as required by law - The OB/NICU/PEDs Nurse Case Manager I is 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. We could combine into a paragraph or multiple paragraphs. Probably better to have a

  containing all that info. Responsibilities: bullet list from "How You Will Make An Impact". Ensure we keep each bullet exactly. List: - 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. We could also include the earlier sentence about performing care management etc. but that is already in About the role. Might duplicate. But we can keep it there. Requirements: Minimum Requirements bullet list: - Requires 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. Also location and license specifics maybe included but we already have location in About the role. Could also include "Candidates must be within the state of North Carolina and have a current, unrestricted RN license for the state of North Carolina" but that's location/license. Might be better to put under Requirements as well. However we must not duplicate content? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." Duplication is okay if it's in original? But we should avoid repeating same info unnecessarily? Not explicitly forbidden, but we should aim to not repeat. However location and license specifics are part of location and license; they could be considered part of Requirements. But we already have location in About the role. Might be okay to keep in About the role only. But we need to ensure we didn't drop any substantive info. The location and license specifics are also in the location line: "Location: North Carolina, Candidates must be within the state of North Carolina and have a current, unrestricted RN license for the state of North Carolina". That's substantive. If we only put location in About the role, we still have that info. So we can keep it there. Qualifications: Preferred Skills, Capabilities, And Experiences bullet list: - Certification as a Case Manager is preferred. - For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. - Current and active RN license required in applicable state(s). - Multi-state licensure is required if this individual is providing services in multiple states. - Certification as a Case Manager and a BS in a health or human services related field preferred. Note some