Remote Nurse Case Manager II: Care Coordination

Elevance Health; Boght Corners (NY); Hybrid; USD 79,000 - 119,000; Full time

Benefits offered by this job

Comprehensive benefits

Hybrid work model

Job summary

Elevance Health in New York is seeking a Nurse Case Manager II to perform comprehensive care management for members with complex and chronic needs. The role can be performed virtually with required in-person training sessions and occasional on-site discharge planning.

You will assess, develop, implement and monitor care plans, coordinate authorizations and referrals, and collaborate with medical directors to optimize outcomes.

Qualifications

• Requires BA/BS in a health-related field and minimum of 5 years of clinical experience.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required if providing services in multiple states.
• Certification as a Case Manager is preferred.

Responsibilities

• Ensures member access to services appropriate to health needs; conducts assessments and develops care plans.
• Implements care plan by facilitating authorizations/referrals within benefits or via extra-contractual arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and modifies as needed.
• Interfaces with Medical Directors and Physician Advisors on care management treatment plans.

Skills

Care management

Communication

Assessment

Team coordination

Education

BA/BS in health-related field

Job description

Elevance Health in New York is seeking a Nurse Case Manager II to perform comprehensive care management for members with complex and chronic needs. The role can be performed virtually with required in-person training sessions and occasional on-site discharge planning.

You will assess, develop, implement and monitor care plans, coordinate authorizations and referrals, and collaborate with medical directors to optimize outcomes.