Remote Nurse Case Manager I - Flexible Care Coordination

Elevance Health (Anthem); Boght Corners (NY); Hybrid; USD 71,000 - 111,000; Full time

Job summary

Elevance Health is seeking a Nurse Case Manager I to empower members through comprehensive care coordination. The role supports flexible virtual work with occasional in-person training sessions and a commute where applicable.

Salary ranges from $70,560 to $110,880, with benefits and equity opportunities. Multistate licensure may be required for cross-state care and is encouraged for eligibility.

Qualifications

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

Responsibilities

• Ensures member access to services appropriate to health needs.
• Conducts assessments to identify needs and a care management plan.
• Implements care plan by facilitating 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 care management plans.
• Negotiates rates of reimbursement as applicable.
• Assists in problem solving with providers, claims or service issues.

Skills

Care coordination

Assessment

Care planning

Negotiation

Education

BA/BS in health-related field

RN license

Multi-state licensure

Job description

Elevance Health is seeking a Nurse Case Manager I to empower members through comprehensive care coordination. The role supports flexible virtual work with occasional in-person training sessions and a commute where applicable.

Salary ranges from $70,560 to $110,880, with benefits and equity opportunities. Multistate licensure may be required for cross-state care and is encouraged for eligibility.