Nurse Case Manager II

Elevance Health (Anthem); Denver (CO); Remote; USD 79,000 - 125,000; Full time

Benefits offered by this job

FEP health benefits

Job summary

Elevance Health is seeking a Nurse Case Manager II to manage complex patient care telephonically or on-site, coordinating plans across the care continuum.

The role requires a RN license, BA/BS in a health field, and 5+ years of clinical experience. Work is virtual full-time with required in-person training; some locations within commuting distance may be considered. Schedule: Monday–Friday, 10:00–6:30 PM EST.

Qualifications

• BA/BS in a health-related field is required.
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure required if providing services in multiple states.
• Certification as a Case Manager is preferred.

Responsibilities

• Assess, develop, implement, coordinate, monitor, and evaluate care plans for members with complex needs.
• Provide telephonic or on-site care management including discharge planning.
• Facilitate authorizations/referrals within benefits structure or through extra-contractual arrangements.
• Coordinate internal and external resources to meet member needs.
• Monitor and modify care plans based on effectiveness.
• Collaborate with Medical Directors and Physician Advisors on treatment plans.

Skills

Case management

Telephonic communication

Education

BS in health-related field

RN license (multi-state)

Job description

Anticipated End Date:

2026-10-30

Position Title:

Nurse Case Manager II

Job Description:

Telephonic Nurse Case Manager II

Anticipated Job Posting End Date:

10/30/2026.

Location:

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Note on Hybrid/Virtual Work:

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Work schedule:

Monday-Friday, 10 - 6:30 pm EST.

Benefits:

The Federal Employee Program (FEP) provides health benefits to federal employees, retirees, and their families. Through its longstanding partnership with the federal government, FEP offers nationwide coverage and access to a broad network of providers, with a focus on delivering quality, affordable care.

Role Description:

The Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.

How you will make an Impact:

• 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.
• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
• 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.
• Assists with development of utilization/care management policies and procedures.

Minimum Requirements:

• Requires BA/BS in a health related field and minimum of 5 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.

Preferred Skills, Capabilities, and Experiences:

• Certification as a Case Manager is preferred.
• BS in a health or human services related field preferred.

Salary Range:

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $79,464 to $124,872.

Locations:

Nevada; Colorado.

Benefits:

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k 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.

Salary Range Disclaimer:

* 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 considered to be 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 Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed Nurse

Recruiter Policy:

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health