Remote Nurse Case Manager II - Complex Care Coordination

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

Benefits offered by this job

Comprehensive benefits package

401(k) + match

Equity stock purchase program

Incentive and recognition programs

Job summary

Elevance Health in New York is seeking a Nurse Case Manager II to assess, develop, coordinate, and evaluate care plans for members with complex and chronic needs. This role can be performed virtually with required in-person training sessions.

Responsibilities include discharge planning, coordinating resources, and collaborating with Medical Directors to optimize care while maintaining regulatory compliance. Candidates should hold an RN license and a health-related BA/BS.

Qualifications

• BA/BS in a health related field or equivalent experience.
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure is required if providing services in multiple states.

Responsibilities

• Perform care management for members with complex and chronic needs.
• Assess, develop, implement, coordinate, monitor, and evaluate care plans.
• Conduct discharge planning telephonically or on-site.
• Coordinate internal and external resources to meet identified needs.
• Monitor and modify care management plans as needed.
• Interface with Medical Directors and Physician Advisors on care plans.
• Negotiate rates of reimbursement as applicable.
• Assist with utilization/care management policies and procedures.

Skills

Care management

Discharge planning

Cross-team collaboration

Clinical coordination

Education

BA/BS in health-related field

RN license

Job description

Elevance Health in New York is seeking a Nurse Case Manager II to assess, develop, coordinate, and evaluate care plans for members with complex and chronic needs. This role can be performed virtually with required in-person training sessions.

Responsibilities include discharge planning, coordinating resources, and collaborating with Medical Directors to optimize care while maintaining regulatory compliance. Candidates should hold an RN license and a health-related BA/BS.