Remote Nurse Case Manager I (RN) - Care Coordination

Elevance Health, Inc.; Tampa (FL); 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) to support members with complex and chronic care needs through telephonic care management. The role requires assessing, developing, coordinating, and evaluating care plans to optimize health across the continuum.

This position is virtual with required in-person training sessions, offering flexibility and autonomy. Multistate licensure is required; BA/BS in a health-related field and 3+ years clinical experience preferred.

Qualifications

• Requires BA/BS in a health-related field and minimum of 3 years of clinical experience, or an equivalent background.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required upon hire.

Responsibilities

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
• Implements care plan by facilitating authorizations/referrals as appropriate 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 the development of care management treatment plans.
• Assists in problem solving with providers, claims or service issues.

Skills

RN license

Clinical experience

Case management certification

Case management experience

Home health

Utilization management

Discharge planning

Education

BA/BS in health-related field

Job description

Elevance Health is seeking a Nurse Case Manager I (RN) to support members with complex and chronic care needs through telephonic care management. The role requires assessing, developing, coordinating, and evaluating care plans to optimize health across the continuum.

This position is virtual with required in-person training sessions, offering flexibility and autonomy. Multistate licensure is required; BA/BS in a health-related field and 3+ years clinical experience preferred.