Remote Nurse Case Manager I

Elevance Health, Inc.; Roanoke (VA); Remote; USD 67,000 - 121,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase program

401(k) + match

Job summary

Elevance Health is seeking a Nurse Case Manager I to perform care management for members with complex needs, assessing, coordinating, and evaluating care plans across the continuum. This telephonically-driven role supports discharge planning and requires a BA/BS in a health field with an RN license.

Work hours are Monday–Friday, 8:00am–4:30pm EST, with an every-other-week 11:30am–8:00pm shift. The salary range listed is $67,200–$120,960 and Elevance Health offers a comprehensive benefits package.

Qualifications

• Requires BA/BS in a health related field and minimum of 3 years of clinical experience.
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure is required if providing services in multiple states.
• Certification as a Case Manager is preferred.
• Compact RN license is preferred.

Responsibilities

• Ensures member access to services appropriate to health needs; conducts assessments and develops targeted care plans.
• Facilitates authorizations/referrals 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; collaborates with Medical Directors and Physician Advisors.
• Assists in problem solving with providers, claims or service issues.

Education

BA/BS in a health related field

RN license

Multi-state licensure

Case Manager certification (preferred)

Compact RN license (preferred)

Job description

Elevance Health is seeking a Nurse Case Manager I to perform care management for members with complex needs, assessing, coordinating, and evaluating care plans across the continuum. This telephonically-driven role supports discharge planning and requires a BA/BS in a health field with an RN license.

Work hours are Monday–Friday, 8:00am–4:30pm EST, with an every-other-week 11:30am–8:00pm shift. The salary range listed is $67,200–$120,960 and Elevance Health offers a comprehensive benefits package.