Anthem Nurse Case Mgr I - Albany, NY (PS2947VMJ) in Nashville, Tennessee

/ 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 willdrive 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.

  • Nurse Case Manager I *
  • Job Location – Albany, NY office *
  • Schedule – Monday-Friday 8:00am to 11:30pm with 2 evening shifts per month 11:30am-8:00pm OR....11:30am to 8:00pm EST (eligible for 10% shift pay for late hours) *

    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. Primary duties may include, but are not limited to:

    • 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.

  • Requires a BA/BS in a health related field; 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license from the State of NY required. Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager is preferred.

/ Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran. /

Job Medical

Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

Title: Nurse Case Mgr I - Albany, NY (PS2947VMJ)

Location: tennessee-Nashville

Requisition ID: PS2947