Remote Nurse Case Manager I — Care Coordinator

Elevance Health, Inc.; Richmond (VA); Remote; USD 67,000 - 121,000; Full time

Benefits offered by this job

Health benefits

Incentive programs

Equity stock purchase

401(k) contribution

Job summary

Elevance Health, Inc. is hiring a Nurse Case Manager I to manage care for members with complex and chronic needs. The role emphasizes telephonic care management, coordination of services, and collaboration with medical leadership to optimize outcomes.

The position requires a BA/BS in a health-related field, a current RN license (multi-state licensure preferred), and 3+ years of clinical experience. Some in-person training and optional hybrid locations may apply.

Qualifications

• Requires BA/BS in a health-related field and minimum of 3 years of clinical experience or equivalent.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required if providing services in multiple states.

Responsibilities

• Assesses, develops, implements, coordinates, monitors and evaluates care plans to optimize member health.
• Performs care management duties telephonically during hospital discharge planning.
• Facilitates authorizations/referrals within benefits structure or through extra-contractual arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors effectiveness of the care management plan and collaborates with Medical Directors and Physician Advisors.

Skills

RN license

Multistate licensure

Care management

Education

BA/BS in health-related field

Job description

Elevance Health, Inc. is hiring a Nurse Case Manager I to manage care for members with complex and chronic needs. The role emphasizes telephonic care management, coordination of services, and collaboration with medical leadership to optimize outcomes.

The position requires a BA/BS in a health-related field, a current RN license (multi-state licensure preferred), and 3+ years of clinical experience. Some in-person training and optional hybrid locations may apply.