Remote Nurse Case Manager II — Complex Care Leader

Elevance Health; Atlanta (GA); Hybrid; USD 80,000 - 110,000; Full time

Job summary

Elevance Health is seeking a Nurse Case Manager II in Georgia. The role focuses on telephonic care management for members with complex needs, coordinating care plans across the continuum, and ensuring appropriate access to services.

The position supports hybrid/virtual work with required onsite onboarding. Candidates should hold a BA/BS in a health-related field, a current RN license, and multistate licensure if practicing in multiple states.

Qualifications

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

Responsibilities

• Conduct telephonic care management for members with complex and chronic needs.
• Assess, develop, implement, coordinate, monitor and evaluate care plans.
• Facilitate authorizations/referrals within benefits or through extra-contractual arrangements.
• Coordinate internal and external resources to meet identified needs.
• Monitor and evaluate effectiveness of care plans and adjust as needed.
• Collaborate with Medical Directors and Physician Advisors on care plans.

Skills

RNs license

Clinical experience

Multi-state licensure

Education

BA/BS in health related field

Job description

Elevance Health is seeking a Nurse Case Manager II in Georgia. The role focuses on telephonic care management for members with complex needs, coordinating care plans across the continuum, and ensuring appropriate access to services.

The position supports hybrid/virtual work with required onsite onboarding. Candidates should hold a BA/BS in a health-related field, a current RN license, and multistate licensure if practicing in multiple states.