Remote Nurse Case Manager I – Chronic Care Specialist

Elevance Health; Texas; Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical, dental, and vision benefits

Short and long-term disability

Job summary

Elevance Health is seeking a Nurse Case Manager I for a 100% virtual role focused on care management for members with complex and chronic care needs. This position is ideal for experienced nurses looking to impact home and community-based settings.

Highlights include a Grand Prairie, TX base with a full-time schedule from Monday to Friday, 11am–8pm CST. You will perform care management activities, develop care plans, coordinate resources, and collaborate with Medical Directors and Physician

Qualifications

• BA/BS in a health-related field required.
• Minimum of 3 years of clinical experience required.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure required if providing services in multiple states.
• Certification as a Case Manager preferred.

Responsibilities

• Perform care management within the scope of licensure for members with complex and chronic care needs.
• Conduct assessments to identify individual needs and develop specific care management plans.
• Implement care plans by facilitating authorizations/referrals as appropriate.
• Coordinate internal and external resources to meet identified needs.
• Monitor and evaluate the effectiveness of care management plans and modify as necessary.
• Interface with Medical Directors and Physician Advisors on care management treatment plans.
• Negotiate rates of reimbursement, as applicable.
• Assist in problem solving with providers, claims, or service issues.

Skills

Care coordination

Assessment

Care planning

Interdisciplinary collaboration

Education

RN license (state-appropriate)

Multi-state licensure

Case management certification (preferred)

Job description

Elevance Health is seeking a Nurse Case Manager I for a 100% virtual role focused on care management for members with complex and chronic care needs. This position is ideal for experienced nurses looking to impact home and community-based settings.

Highlights include a Grand Prairie, TX base with a full-time schedule from Monday to Friday, 11am–8pm CST. You will perform care management activities, develop care plans, coordinate resources, and collaborate with Medical Directors and Physician