Remote Nurse Case Manager I - Care Coordination

Elevance Health, Inc.; St. Louis (MO); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Elevance Health, Inc. seeks a Nurse Case Manager I to perform care management for members with complex needs. Responsibilities include assessing, developing, coordinating, and evaluating care plans to optimize outcomes, with telephonic or on-site duties such as hospital discharge planning.

The role requires an active BA/BS in a health-related field, an unrestricted RN license, and multi-state licensure where applicable. Certifications in case management and a health-related BS are preferred.

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.
• Multi-state licensure is required if providing services in multiple states.
• Certification as a Case Manager and BS in a health or human services related field preferred.

Responsibilities

• Perform care management within scope of licensure for members with complex and chronic care needs.
• Assess, develop, implement, coordinate, monitor, and evaluate care plans to optimize member health care.
• Coordinate discharge planning and perform duties telephonically or on-site at hospitals.
• Interface with Medical Directors and Physician Advisors on care management treatment plans.

Skills

Care coordination

Nurse licensure

Multistate licensure

Education

BA/BS in health-related field

3+ years clinical experience

Job description

Elevance Health, Inc. seeks a Nurse Case Manager I to perform care management for members with complex needs. Responsibilities include assessing, developing, coordinating, and evaluating care plans to optimize outcomes, with telephonic or on-site duties such as hospital discharge planning.

The role requires an active BA/BS in a health-related field, an unrestricted RN license, and multi-state licensure where applicable. Certifications in case management and a health-related BS are preferred.