Remote Nurse Case Manager II - Flexible Hours & Impactful Care

Elevance Health (Anthem); Indianapolis (IN); Hybrid; USD 76,000 - 125,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentives & recognition programs

Equity stock purchase

401k contribution

Job summary

Elevance Health is seeking a Nurse Case Manager II to coordinate care for members with complex and chronic needs, delivering telephonic or on-site support including discharge planning. The role emphasizes assessment, planning, implementation, and monitoring across the care continuum.

Flexibility is offered with virtual full-time work and required in-person training. Hybrid options exist, with standard hours Mon-Fri and specific shift times depending on local time.

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 and a BS in a health or human services related field preferred.

Responsibilities

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify individual needs and develop a care management plan.
• Implements care plan by facilitating 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 modifies as necessary.
• Interfaces with Medical Directors and Physician Advisors on plan development.
• Negotiates rates of reimbursement where applicable.
• Assists with problem solving with providers, claims or service issues.

Skills

Care management

Assessments

Discharge planning

Coordination

Education

BA/BS in health related field

RN license

Job description

Elevance Health is seeking a Nurse Case Manager II to coordinate care for members with complex and chronic needs, delivering telephonic or on-site support including discharge planning. The role emphasizes assessment, planning, implementation, and monitoring across the care continuum.

Flexibility is offered with virtual full-time work and required in-person training. Hybrid options exist, with standard hours Mon-Fri and specific shift times depending on local time.