Remote Nurse Case Manager I — Care Coordination

Anthem Blue Cross & Blue Shield; Columbus (GA); Remote; USD 67,000 - 105,000; Full time

Job summary

Elevance Health seeks a Nurse Case Manager I to perform telephonic and on-site care coordination for members with complex health needs. The role supports plan adherence, discharge planning, and cross-functional collaboration with medical directors for optimized outcomes.

The position offers remote work with required in-person training, a Monday–Friday schedule, and competitive compensation aligned with geographic location and experience.

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) required.
• Multi-state licensure is required if providing services in multiple states.

Responsibilities

• Performs care management within licensure scope for members with complex or chronic needs.
• Assess, develop, implement, coordinate, monitor and evaluate care plans to optimize health.
• Coordinate resources and authorize referrals within benefits or extra-contractual arrangements.
• Interface with Medical Directors and Physician Advisors on care plans.
• Monitor effectiveness and adjust care plans as needed.

Skills

Clinical experience

Multistate licensure

Education

BA/BS in health-related field

RN license (unrestricted)

Job description

Elevance Health seeks a Nurse Case Manager I to perform telephonic and on-site care coordination for members with complex health needs. The role supports plan adherence, discharge planning, and cross-functional collaboration with medical directors for optimized outcomes.

The position offers remote work with required in-person training, a Monday–Friday schedule, and competitive compensation aligned with geographic location and experience.