Remote Nurse Case Manager I – Care Coordination

Elevance Health, Inc.; Florida; Hybrid; USD 64,000 - 101,000; Full time

Benefits offered by this job

Hybrid work model

401(k) + match

Stock purchase plan

Medical, dental, vision coverage

Job summary

Elevance Health is seeking a Licensure-qualified Care Manager to perform care management for members with complex and chronic needs. Responsibilities include assessing, developing, coordinating, and evaluating care plans to optimize health outcomes, with telephonic and on-site duties such as hospital discharge planning.

The role requires a BA/BS in a health-related field and 3+ years of clinical experience, plus an unrestricted RN license (multi-state licensure often needed).

Qualifications

• BA/BS in a health-related field with 3+ years of clinical care experience or equivalent background.
• Current, unrestricted RN license in applicable state(s) required; multi-state licensure if serving multi-state.
• URAC-accredited area requires BA/BS and 3+ years clinical care experience.

Responsibilities

• Perform care management for members with complex, chronic needs and develop care plans.
• Coordinate authorizations/referrals within benefits or through extra-contractual arrangements.
• Monitor outcomes and adjust care plans; interface with Medical Directors and Physician Advisors.
• Provide telephonic or on-site care management, including discharge planning at hospitals.
• Collaborate with providers and internal teams to ensure access to needed services.

Skills

Clinical experience

Communication skills

Critical thinking

Adaptability

Education

BA/BS in health-related field

RN license (unrestricted)

Job description

Elevance Health is seeking a Licensure-qualified Care Manager to perform care management for members with complex and chronic needs. Responsibilities include assessing, developing, coordinating, and evaluating care plans to optimize health outcomes, with telephonic and on-site duties such as hospital discharge planning.

The role requires a BA/BS in a health-related field and 3+ years of clinical experience, plus an unrestricted RN license (multi-state licensure often needed).