Mgr I Case Mgt (Atlanta, GA) - 42027EB - (US-GA-Atlanta - 39901)

Minimum Education: Tech School
Job Type: Full Time
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WellPoint
is the nation's leading health benefits company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to be the most trusted choice for consumers and a leader in affordable quality care with an unyielding commitment to meeting the needs of our diverse customers.

Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.


Manages a team of nurse care managers engaged in assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. Primary duties may include, but are not limited to: Responsible for process improvement, quality assurance, and adherence to appropriate medical policy, care management best practices, relevant clinical standards, and member contract. Management responsibilities include hiring, training, coaching, counseling, and evaluating performance of direct reports.

Skills:
Requires BA/BS or higher in a health related field and licensure as a health professional, or certification as a care manager, or current unrestricted RN license in applicable state(s) and 5 years clinical experience or any combination of education and experience, which would provide an equivalent background. BA/BS in nursing, certification in appropriate product/service, clinical or care management experience appropriate to demands preferred. Requires knowledge of health insurance/benefits. Requires knowledge of care management assessment technique, provider community, and community resources. 3 years experience in home health/discharge planning preferred. Must have strong oral, written and interpersonal communication skills, PC skills to include word processing, spreadsheet, and database applications, organizational and problem-solving skills, decision-making skills, and evidence of leadership skills. WellPoint is ranked No. 1 among health insurers on Fortune Magazine's annual list of America's Most Admired Companies and has been named as one of the Top 50 Companies for Diversity by DiversityInc Magazine.

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