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Posted: Sunday, January 7, 2018 6:21 PM


Your Talent. Our Vision. At Anthem Blue Cross and Blue Shield, a proud member of the Anthem, Inc. family of companies, it's a powerful combination, and the foundation upon which we're creating greater 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.

Location: Woodland Hills, California office or telecommute if within driving distance to an Anthem office in the Woodland Hills area

Work Hours/Days: Monday - Friday, 11:30 am to 8:00 pm PST and every 5th Saturday 9:00 am to 5:30 pm PST (one weekday off those weeks)

* Shift differential for hours worked starting at 12noon, and Saturdays.*

The Nurse Care Manager l, ll, or Sr. is responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs. Primary duties may include, but are not limited to:

* Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions and extensions of stay, outpatient services, out of network services, and appropriateness of treatment setting and level of care.

* Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance. Collaborates with providers to assess consumer needs for early identification of and proactive planning for discharge.

* Conducts clinical assessment to develop goals that address individual needs in order to develop and implement a care plan.

* Monitors and evaluates effectiveness of the care management plan and modifies as necessary.



* Minimum 3 years of acute care clinical experience; or any combination of education and experience, which would provide an equivalent background.

* Current, unrestricted RN license in California required. (RN License in other states a plus)

* Case Management and Disease Management experience preferred.

* AS/BS in nursing preferred.

* Certification as a Case Manager (CCM) desired.

* Job Level will be determined based upon candidate's skills, education and relative experience.*

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 please visit us at EOE. M/F/Disability/Veteran.


Associated topics: asn, ccu, coronary, maternal, mhb, psychiatric, registed, staff nurse, transitional, unit


• Location: Thousand Oaks, Ventura

• Post ID: 156178082 la is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2018