Nursing Invoice reviews. Nursing contract criteria validation. Clinical note reviews. Implements, coordinates, monitors, and evaluates options and services to meet member's health needs and ensures appropriate use of clinical resources. Monitors delivery of care across all markets. Maintains daily admissions and discharge records. Expedites and coordinates appointments for assigned hospitalized patients. Authorizes and coordinates services. Keeps all providers involved with member's care updated on appointments, condition, and additional clinical support needed. Requests and gathers necessary medical records. Maintains accurate and complete documentation in Case Management database. Minimum Requirements:Requires a H. S. diploma or equivalent and a minimum of 2 years of experience in Case Management Care Coordination in an HMO environment; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences:Medical Assistant Certification. Intermediate knowledge of Excel. Experience with Nursing Contracts. Experience with People Soft. Experience with Care. Tend. Experience working high volume of Nursing Invoices. Specialty Medication experience. Experience with Nursing contracts. For candidates working in person or virtually in the below locations, the salary - range for this specific position is $19.63 hr. to $30.79 hr. Location(s): Denver, CO and Seattle, WA In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401 k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. - The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level:Non-Management Non-Exempt. Workshift: