Remote Nurse Case Manager I - Care Coordination

Elevance Health, Inc.; St. Louis (MO); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Elevance Health, Inc. is seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs. The role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans, with telephonic and on-site discharge planning as needed.

The position may be conducted virtually with required in-person training. Hybrid/virtual policy restricts applicants outside commuting distance unless accommodations are granted by law.

Qualifications

• BA/BS in a health-related field required.
• RN license in applicable state(s) required.
• Multi-state licensure may be required for multi-state practice.

Responsibilities

• Assess, develop, implement, coordinate, monitor, and evaluate care plans.
• Coordinate care across the continuum and perform discharge planning.
• Ensure access to services and authorize referrals as needed.
• Interface with Medical Directors and Physician Advisors on treatment plans.
• Negotiate reimbursement rates where applicable.

Skills

Care coordination

Assessment

Discharge planning

Communication

Education

BA/BS in health related field

RN license (state(s))

Job description

Elevance Health, Inc. is seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs. The role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans, with telephonic and on-site discharge planning as needed.

The position may be conducted virtually with required in-person training. Hybrid/virtual policy restricts applicants outside commuting distance unless accommodations are granted by law.