Elevance Health

Elevance Health

Medical Mgmt Nurse (RN)

IN-INDIANAPOLIS, 220 VIRGINIA AVE · Mid · Full-time

Sponsorship not specifiedDetected 8 hours ago
AccessibilityProcess ImprovementHRISLeadershipCritical Thinking

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odds of building a lasting career here

42Risky
Cap-exempt (no lottery)0
Sponsors this role100
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70

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Employer immigration record

from this employer's Department of Labor filings

Files H-1B transfers

2 transfer filings in the last year, covering 2 workers. Median labor-condition decision: 122 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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About the role

  • Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity.
  • Determines and assesses abnormalities by understanding complex clinical concepts/terms and assessing members' aggregate symptoms and information.
  • Assesses member clinical information and recognizes when a member may not be receiving appropriate type, level, or quality of care, e.g., if services are not in line with diagnosis.

Responsibilities

  • May work on special projects and helps to craft, implement, and improve organizational policies.

Requirements

  • Requires a minimum of an Associate's Degree in Nursing.
  • Requires a minimum of 4 years care management or case management experience And requires a minimum of 2 years clinical, utilization review, or managed care experience

Nice to have

  • Preferred Skills, Capabilities and Experiences:

Skills

  • Multi-state RN license preferred.
  • Previous Inpatient Utilization Management experience.

Compensation

  • Work Shift: Monday - Friday, 8:00 am to 4:30 pm (EST) with a Saturday obligation approximately 3 times per year.

Benefits

  • Works with healthcare providers to promote quality member outcomes, optimize member benefits, and promote effective use of resources.
  • Works with healthcare providers to understand and assess a member's clinical picture.

Company info

  • 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
  • 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 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.
  • 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.
  • 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 following form: 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.
  • NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date.
  • Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM.
  • In other words - the job is posted until 3/13, not through 3/13.

Visa & Work Authorization

  • ent 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 gend
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This listing is sourced directly from Elevance Health's careers page and normalized into a canonical job model.