Remote Nurse Case Manager I — Care Coordination

Elevance Health; Saint Louis (CA); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Elevance Health is seeking a Nurse Case Manager I (US) to assess, coordinate, and monitor care for members with complex or chronic health needs. This role can be performed remotely with required in-person training sessions, offering flexibility and autonomy.

The position requires a BA/BS in a health-related field and an active RN license, with multi-state licensure preferred to support care across states. Expect collaboration with Medical Directors and providers to optimize care plans.

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

• Assess and develop individualized care plans for complex or chronic cases.
• Coordinate and monitor care across the continuum.
• Facilitate authorizations and referrals within benefits or through special arrangements.
• Telephonically or on-site care management, including hospital discharge planning.

Skills

Clinical experience

Care management

Communication skills

Care coordination

Education

BA/BS in health related field

Job description

Elevance Health is seeking a Nurse Case Manager I (US) to assess, coordinate, and monitor care for members with complex or chronic health needs. This role can be performed remotely with required in-person training sessions, offering flexibility and autonomy.

The position requires a BA/BS in a health-related field and an active RN license, with multi-state licensure preferred to support care across states. Expect collaboration with Medical Directors and providers to optimize care plans.