Nurse Case Manager I — Remote/Hybrid Care Coordination

Elevance Health; Latham (KS); Hybrid; USD 71,000 - 106,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase plan

401(k) contribution

Job summary

Elevance Health is seeking a Nurse Case Manager I to perform care management for members with complex and chronic care needs. The role involves assessing, developing, coordinating, and evaluating care plans across the care continuum, telephonically or on-site for discharge planning.

The position requires an RN license in applicable state(s) and a BA/BS in a health-related field with at least 3 years of clinical experience; multi-state licensure may be required.

Qualifications

• Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required if this individual is providing services in multiple states.

Responsibilities

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
• Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
• Negotiates rates of reimbursement, as applicable.
• Assists in problem solving with providers, claims or service issues.

Skills

RN licensure

Clinical experience

Case management certification

BA/BS in health-related field

Education

BA/BS in health-related field

RN licensure

Job description

Elevance Health is seeking a Nurse Case Manager I to perform care management for members with complex and chronic care needs. The role involves assessing, developing, coordinating, and evaluating care plans across the care continuum, telephonically or on-site for discharge planning.

The position requires an RN license in applicable state(s) and a BA/BS in a health-related field with at least 3 years of clinical experience; multi-state licensure may be required.