Remote Nurse Case Manager I — Care Coordination

The Elevance Health Companies, Inc.; St. Louis (MO); Hybrid; USD 75,000 - 105,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k) + match

Life insurance

Wellness programs

Stock purchase plan

Job summary

Elevance Health is seeking a Nurse Case Manager I to support members' health needs by conducting assessments, developing care plans, and coordinating authorizations and referrals within benefits.

The role emphasizes collaboration with Medical Directors and Providers, requires RN licensure, and allows virtual work with occasional in-person training; multi-state licensure may be needed, and a hybrid work model is supported.

Qualifications

• Requires BA/BS in a health-related field and a minimum of 3 years of clinical experience.
• Current, unrestricted RN license in applicable state(s) required.
• Multistate licensure is required if providing services in multiple states.
• Preferred: Certification as a Case Manager and a BS in a health or human services related field.

Responsibilities

• Conducts assessments to identify member needs and develops a care management plan.
• Facilitates authorizations/referrals within benefits structure or through extra-contractual arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
• Interfaces with Medical Directors and Physician Advisors on treatment plans.

Skills

RN license

Clinical experience

Care coordination

Multistate licensure

Education

BA/BS in health-related field

Job description

Elevance Health is seeking a Nurse Case Manager I to support members' health needs by conducting assessments, developing care plans, and coordinating authorizations and referrals within benefits.

The role emphasizes collaboration with Medical Directors and Providers, requires RN licensure, and allows virtual work with occasional in-person training; multi-state licensure may be needed, and a hybrid work model is supported.