Remote Nurse Case Manager II - Care Coordination Pro

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

Job summary

Elevance Health in New York is seeking a Nurse Case Manager II to perform care management for members with complex needs, assessing, developing, implementing, coordinating, monitoring, and evaluating care plans across the care continuum, including discharge planning in hospitals.

The role supports hybrid/virtual work with optional in-person training; requires a BA/BS in a health field, an unrestricted RN license, and multi-state licensure if serving multiple states. Salary range $79,464–$119,196.

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 required if providing services in multiple states.

Responsibilities

• Performs care management for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans across the care continuum.
• Telephonically or on-site (including hospital discharge planning) support and coordination.
• Facilitates authorizations/referrals 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 updates as needed.
• Interfaces with Medical Directors and Physician Advisors on care management plans.

Skills

RN license

Care management

Discharge planning

Education

BA/BS in health-related field

Job description

Elevance Health in New York is seeking a Nurse Case Manager II to perform care management for members with complex needs, assessing, developing, implementing, coordinating, monitoring, and evaluating care plans across the care continuum, including discharge planning in hospitals.

The role supports hybrid/virtual work with optional in-person training; requires a BA/BS in a health field, an unrestricted RN license, and multi-state licensure if serving multiple states. Salary range $79,464–$119,196.