Remote Nurse Case Manager II – Chronic Care

Elevance Health, Inc.; Los Angeles (CA); Remote; USD 58,000 - 90,000; Full time

Benefits offered by this job

Virtual work

In-person onboarding

Job summary

Elevance Health, Inc. is seeking a Nurse Case Manager II CA to assess and manage care plans for members with complex and chronic needs.

The role emphasizes telephonic and on-site care coordination, including discharge planning, with a salary range specified for California. The position requires an RN license (multi-state licensure), a BA/BS in a health-related field, and a minimum of five years of clinical experience.

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).
• Multi-state licensure required if providing services in multiple states.

Responsibilities

• Assess, develop, implement, coordinate, monitor and evaluate care plans for members with complex and chronic needs.
• Perform care management activities telephonically or on-site (e.g., hospital discharge planning).
• Ensure access to services appropriate to health needs and coordinate with providers and resources.
• Facilitate authorizations/referrals within benefits or through extra-contractual arrangements.
• Interface with Medical Directors and Physician Advisors on care plans.
• Negotiate rates of reimbursement and assist with problem solving related to providers and claims.

Skills

RN license

Clinical experience

Care coordination

Multistate licensure

Education

BA/BS in health field

Job description

Elevance Health, Inc. is seeking a Nurse Case Manager II CA to assess and manage care plans for members with complex and chronic needs.

The role emphasizes telephonic and on-site care coordination, including discharge planning, with a salary range specified for California. The position requires an RN license (multi-state licensure), a BA/BS in a health-related field, and a minimum of five years of clinical experience.