Nurse Case Manager I - Remote Care Coordinator

Elevance Health; United States; Remote; USD 71,000 - 88,000; Full time

Benefits offered by this job

Sign-on bonus $3,000

Hybrid/remote work option

Comprehensive benefits package

Job summary

Elevance Health is hiring a Nurse Case Manager I to manage care plans for members with complex and chronic conditions, performing assessments, coordinating services, and monitoring outcomes. The role may be remote with required on-site training, with a focus on hospital discharge planning and telephonic or on-site care coordination.

Minimum qualifications include BA/BS in a health-related field and an active RN license (multi-state licensure preferred).

Qualifications

• Requires BA/BS in a health-related field.
• Current, unrestricted RN license in applicable state(s). Multi-state licensure required for multi-state practice.
• Certification as a Case Manager is preferred but not required.

Responsibilities

• Perform care management within licensure scope for members with complex and chronic care needs.
• Assess, develop, implement, coordinate, monitor, and evaluate care plans to optimize health care across the continuum.
• Coordinate authorizations/referrals within benefit structures or through extra-contractual arrangements.
• Interface with Medical Directors and Physician Advisors on care plans.
• Assist in problem solving with providers, claims or service issues.

Skills

Care management

Assessments

Care coordination

Discharge planning

Provider collaboration

Education

RN license (state-specific, multi-state licensure)

Job description

Elevance Health is hiring a Nurse Case Manager I to manage care plans for members with complex and chronic conditions, performing assessments, coordinating services, and monitoring outcomes. The role may be remote with required on-site training, with a focus on hospital discharge planning and telephonic or on-site care coordination.

Minimum qualifications include BA/BS in a health-related field and an active RN license (multi-state licensure preferred).