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Job Details

Nurse Case Mgr I

Company name
Anthem, Inc.

South Richmond Hill, NY, United States

Employment Type

Healthcare, Nursing, Case Management, Manager

Posted on
Nov 19,2019

Valid Through
Mar 03,2020

Apply for this job


Nurse Case Mgr I

Location: United States


Requisition #: PS30494

Post Date: 5 hours ago

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful

combination, and the foundation upon which we’re creating greater access to

care for our members, greater value for our customers, and greater health for

our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that

means more to you and those we serve at one of America's leading health

benefits companies and a Fortune Top 50 Company.

Title: Nurse

Case Manager I

Location: Iowa

Work from home or in the West Des Moines office

Hours: 40 hours

a week , Monday-Friday between 8-6pm


Responsible for performing case management telephonically 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.

Primaryduties may include, but are not limited to

Ensures member access to servicesappropriate to their health needs.

Conducts assessments to identifyindividual needs and a specific care management plan to address objectives andgoals as identified during assessment.

Implements care plan byfacilitating authorizations/referrals as appropriate within benefits structureor through extra-contractual arrangements.

Coordinates internal and externalresources to meet identified needs.

Monitors and evaluateseffectiveness of the care management plan and modifies as necessary.

Interfaces with Medical Directorsand Physician Advisors on the development of care management treatment plans.

Assists in problem solving withproviders, claims or service issues.

In person visits to members mightbe needed from time to time but this not a common occurrence at this time

Reside in the state of Iowa

Current,unrestricted RN license for the State of Iowa

RN diploma or Associate degree in nursing (ADN) or a Bachelor of science in nursing (BSN)

3 years of clinical experience

Anycombination of education and experience, which would provide an equivalentbackground could be considered.

Company info

Anthem, Inc.
Website :

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