Remote Nurse Case Manager I - Flexible Hours

Elevance Health; Grand Prairie (TX); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Paid Time Off

Merit increases

Paid holidays

Incentive bonus programs

Short and long term disability

Financial education resources

Job summary

Elevance Health's CareBridge unit seeks a Nurse Case Manager I for a 100% virtual role. You will assess, plan, coordinate and monitor care for members with complex needs, primarily telephonically, with occasional on-site discharge planning.

The position requires an RN license (multistate preferred) and a BA/BS in a health-related field, plus at least 3 years of clinical experience. Hybrid/onsite training may be required in some cases.

Qualifications

• BA/BS in a health-related field and minimum 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.

Responsibilities

• Performs care management within licensure scope for members with complex needs.
• Assess, develop, implement, coordinate, monitor and evaluate care plans.
• Coordinate internal and external resources to meet identified needs.
• Monitor and evaluate effectiveness of care plans and modify as necessary.
• Interface with Medical Directors and Physician Advisors on care plans.
• Negotiate rates of reimbursement and assist with provider issues.

Skills

Case management

Discharge planning

Multistate licensure

Education

BA/BS in health-related field

RN license

Job description

Elevance Health's CareBridge unit seeks a Nurse Case Manager I for a 100% virtual role. You will assess, plan, coordinate and monitor care for members with complex needs, primarily telephonically, with occasional on-site discharge planning.

The position requires an RN license (multistate preferred) and a BA/BS in a health-related field, plus at least 3 years of clinical experience. Hybrid/onsite training may be required in some cases.