Remote Nurse Case Manager I — Care Coordination

The Elevance Health Companies, Inc.; Indianapolis (IN); On-site; USD 65,000 - 95,000; Full time

Job summary

Elevance Health Companies, Inc. is seeking a Nurse Case Manager I for virtual, full-time work with required in-person training. You will manage care for members with complex needs, assessing, coordinating, and evaluating plans, and supporting discharge planning.

Requires a BA/BS in a health-related field, a current RN license, and at least 3 years of clinical experience; multi-state licensure is needed if serving multiple states. Bilingual abilities are strongly preferred.

Qualifications

• Requires BA/BS in a health-related field and minimum 3 years of clinical experience.
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure is required if providing services in multiple states.
• For URAC accredited areas BA/BS and 3 years of clinical care experience.
• Current and active RN license in applicable state(s).
• Multi-state licensure is required if providing services in multiple states.

Responsibilities

• Assess, develop, implement, coordinate and evaluate care plans designed to optimize member health care.
• Coordinate authorizations/referrals within benefits structure or extra-contractual arrangements.
• Perform duties telephonically or on-site for discharge planning.
• Interface with Medical Directors and Physician Advisors on care plans.
• Monitor and modify care plans as needed.

Skills

RN license

Multistate licensure

BA/BS in health-related field

3+ years clinical experience

Case management certification

Bilingual

Education

BA/BS in health-related field

Job description

Elevance Health Companies, Inc. is seeking a Nurse Case Manager I for virtual, full-time work with required in-person training. You will manage care for members with complex needs, assessing, coordinating, and evaluating plans, and supporting discharge planning.

Requires a BA/BS in a health-related field, a current RN license, and at least 3 years of clinical experience; multi-state licensure is needed if serving multiple states. Bilingual abilities are strongly preferred.