Remote Nurse Case Manager I – Care Coordination

Elevance Health; Latham (AL); Hybrid; USD 71,000 - 106,000; Full time

Job summary

Elevance Health in New York is seeking a Nurse Case Manager I to coordinate care for members with complex needs. The role allows virtual work with required in-person training sessions and occasional on-site activities at hospitals for discharge planning.

The position emphasizes assessment, care plan development, and cross-functional coordination with Medical Directors to optimize outcomes across the care continuum. Multistate licensure is required if practicing across states.

Qualifications

• Requires BA/BS in a health-related field and minimum of 3 years of clinical experience.
• Current, unrestricted RN license in home state required.
• Multi-state licensure is required if this individual is providing services in multiple states.

Responsibilities

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify individual needs and a care management plan.
• Implements care plan by facilitating authorizations/referrals as appropriate.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care plan and modifies as necessary.
• Interfaces with Medical Directors and Physician Advisors on care plans.
• Assists in problem solving with providers, claims or service issues.
• Functions as preceptor for new care management staff.
• Works on special projects as assigned.

Skills

Clinical experience

Education

BA/BS in health-related field

Job description

Elevance Health in New York is seeking a Nurse Case Manager I to coordinate care for members with complex needs. The role allows virtual work with required in-person training sessions and occasional on-site activities at hospitals for discharge planning.

The position emphasizes assessment, care plan development, and cross-functional coordination with Medical Directors to optimize outcomes across the care continuum. Multistate licensure is required if practicing across states.