Remote Nurse Case Manager I (RN) – Care Coordination

Elevance Health, Inc.; Latham (NY); 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, Inc. is seeking a Nurse Case Manager I (RN) to manage care for members with complex needs, performing telephonic care management with in-person training allowed. The role supports a hybrid/virtual work model with occasional on-site requirements and is based in New York.

The position requires an RN license, a BA/BS in a health-related field, and multi-state licensure upon hire. Preferred candidates have Case Manager certification and prior case management or home health

Qualifications

• BA/BS in a health-related field and 3+ years clinical experience or equivalent background.
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure required upon hire.
• Certification as a Case Manager is preferred.
• Previous case management experience.
• Home health/utilization management or hospital discharge planning experience is a plus.

Responsibilities

• Ensures member access to services appropriate to health needs.
• Conducts assessments to identify needs and create care plans.
• Implements care plan with authorizations/referrals within benefits or extra-contractual arrangements.
• Coordinates internal and external resources to meet needs.
• Monitors and evaluates the care management plan and updates as needed.
• Interfaces with Medical Directors and Physician Advisors on care plans.
• Assists in problem solving with providers, claims, or service issues.

Education

BA/BS in a health-related field

RN license

Multi-state licensure

Job description

Elevance Health, Inc. is seeking a Nurse Case Manager I (RN) to manage care for members with complex needs, performing telephonic care management with in-person training allowed. The role supports a hybrid/virtual work model with occasional on-site requirements and is based in New York.

The position requires an RN license, a BA/BS in a health-related field, and multi-state licensure upon hire. Preferred candidates have Case Manager certification and prior case management or home health