Remote Nurse Case Manager I – Care Coordination

The Elevance Health Companies, Inc.; Boght Corners (NY); Remote; USD 71,000 - 111,000; Full time

Job summary

Elevance Health is hiring a Nurse Case Manager I (US) to perform care management for members with complex and chronic needs, assessing and coordinating care plans. The role can be conducted remotely with required in-person training, with some offices within commuting distance.

Multistate licensure may be required for cross-state service delivery. The position emphasizes coordination with medical directors, specialists, and providers, including authorizations, referrals, and ongoing evaluation of

Qualifications

• BA/BS in health-related field required.
• RN license in applicable state(s) required.

Responsibilities

• Assess member needs and develop care plans.
• Coordinate authorizations/referrals within benefits or via extra-contractual arrangements.
• Monitor and evaluate care plan effectiveness and modify as needed.
• Interface with Medical Directors and Physicians Advisors on care plans.
• Assist in problem-solving with providers, claims, or service issues.

Skills

Care management

Discharge planning

Telephonic coordination

Education

BA/BS in health field

Job description

Elevance Health is hiring a Nurse Case Manager I (US) to perform care management for members with complex and chronic needs, assessing and coordinating care plans. The role can be conducted remotely with required in-person training, with some offices within commuting distance.

Multistate licensure may be required for cross-state service delivery. The position emphasizes coordination with medical directors, specialists, and providers, including authorizations, referrals, and ongoing evaluation of