Remote Nurse Case Manager I — Flexible Telehealth Care

Anthem Blue Cross & Blue Shield; Columbus (GA); Remote; USD 67,000 - 105,000; Full time

Job summary

Elevance Health is seeking a Nurse Case Manager I to perform comprehensive care management for members with complex and chronic needs. The role involves assessing, designing, coordinating, and evaluating care plans, delivered telephonically or on-site, including discharge planning.

The position focuses on ensuring access to appropriate services, coordinating resources, and collaborating with Medical Directors and Physician Advisors.

Qualifications

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

Responsibilities

• Assess, develop, implement, coordinate, monitor, and evaluate care plans for members with complex and chronic needs.
• Perform care management telephonically or on-site, including discharge planning.
• Ensure access to services and coordinate internal/external resources.
• Interface with Medical Directors and Physician Advisors on treatment plans.
• Negotiates rates of reimbursement, as applicable.
• Assists in problem solving with providers, claims or service issues.
• Monitor and modify care plans based on effectiveness.

Skills

Nursing

Care coordination

Clinical assessment

Communication

Problem solving

Team collaboration

Education

BA/BS in health related field

RN license

Multi-state licensure

Job description

Elevance Health is seeking a Nurse Case Manager I to perform comprehensive care management for members with complex and chronic needs. The role involves assessing, designing, coordinating, and evaluating care plans, delivered telephonically or on-site, including discharge planning.

The position focuses on ensuring access to appropriate services, coordinating resources, and collaborating with Medical Directors and Physician Advisors.