Nurse Case Mgr I (RN)

Elevance Health; New York (NY); On-site; USD 71,000 - 106,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase and 401k

Job summary

Elevance Health in Latham, NY, seeks a Nurse Case Manager I (RN) to perform care management for members with complex needs. The role focuses on assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize health outcomes.

Qualifications include a BA/BS in a health-related field, and a minimum of 3 years of clinical experience with an unrestricted RN license. Multi‑state licensure is required upon hire and Case Manager certification is preferred.

Qualifications

• Minimum of 3 years of clinical experience.
• RN license in applicable state(s) required.
• Multi-state licensure required upon hire.
• Certification as a Case Manager preferred.

Responsibilities

• Ensure member access to services appropriate to health needs.
• Conduct assessments to identify needs and develop care management plans.
• Implement care plans by facilitating authorizations/referrals as appropriate.
• Coordinate internal and external resources to meet identified needs.
• Monitor and evaluate effectiveness of care plans and adjust as needed.
• Interface with Medical Directors and Physician Advisors on care plans.
• Assist in problem solving with providers, claims, or service issues.

Skills

Care coordination

Assessments

Care plan development

Interdisciplinary collaboration

Education

BA/BS in a health-related field

Job description

About This Role

The Nurse Case Manager I (RN) is responsible for performing care management for members with complex and chronic care needs. This role is ideal for those who excel in assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care.

Highlights

• Pay: $70,560 - $105,840/year
• Location: Latham, NY
• Schedule: Full-time, Monday – Friday, 9:00 am to 5:30 pm (EST) with two to four late evening shifts per month

What You'll Do

• Ensure member access to services appropriate to their health needs
• Conduct assessments to identify individual needs and develop care management plans
• Implement care plans by facilitating authorizations/referrals as appropriate
• Coordinate internal and external resources to meet identified needs
• Monitor and evaluate the effectiveness of care management plans and modify as necessary
• Interface with Medical Directors and Physician Advisors on care management treatment plans
• Assist in problem solving with providers, claims, or service issues

Requirements

Education:

• BA/BS in a health-related field required

Experience:

• Minimum of 3 years of clinical experience required

Licenses & Certifications:

• Current, unrestricted RN license in applicable state(s) required
• Multi-state licensure required upon hire
• Certification as a Case Manager preferred

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution

About Elevance Health

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. They are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels who are passionate about making an impact on members and communities.