Remote Nurse Case Manager I (RN)

Elevance Health, Inc.; Mason (OH); Remote; USD 71,000 - 106,000; Full time

Benefits offered by this job

comprehensive benefits package

incentive and recognition programs

equity stock purchase

401k contribution

Job summary

Elevance Health is seeking a Nurse Case Manager I (RN) for telephonic care across the care continuum. This remote role allows flexible scheduling with required in-person training sessions and occasional office visits as needed.

You will assess, develop, implement, coordinate, monitor and evaluate care plans to optimize member health, mostly by telephone. Collaborate with Medical Directors and Physician Advisors to authorize referrals, coordinate resources, and monitor outcomes.

Qualifications

• BA/BS in a health-related field and at least 3 years of clinical experience.
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure required upon hire.

Responsibilities

• Assess, develop, implement, coordinate, monitor and evaluate care plans across the care continuum.
• Coordinate internal and external resources to meet identified needs.
• Perform care management duties telephonically.
• Ensure member access to services appropriate to health needs.
• Interface with Medical Directors and Physician Advisors on care plans.
• Assist in problem solving with providers, claims or service issues.

Skills

RN licensure

Multistate licensure

Care management

Clinical experience

Education

BA/BS in health-related field

Current RN license

Job description

Elevance Health is seeking a Nurse Case Manager I (RN) for telephonic care across the care continuum. This remote role allows flexible scheduling with required in-person training sessions and occasional office visits as needed.

You will assess, develop, implement, coordinate, monitor and evaluate care plans to optimize member health, mostly by telephone. Collaborate with Medical Directors and Physician Advisors to authorize referrals, coordinate resources, and monitor outcomes.