Remote Nurse Case Manager II – Multi-State Licensure

Elevance Health; Atlanta (GA); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

Paid Time Off

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Job summary

Elevance Health is seeking a Nurse Case Manager II to manage care for members with complex and chronic needs. Responsibilities include assessments, developing and coordinating care plans, and interfacing with providers and payors. Most duties are via telephonic or on-site discharge planning.

Requires a BA/BS in a health field, 5+ years clinical experience, current RN license, and multi-state licensure. Hybrid/remote work options apply under policy; travel may be required for trainings.

Qualifications

• Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience providing equivalent background.
• Current, unrestricted RN license in applicable home state required.
• Multi-state licensure is required if this individual is providing services in multiple states.

Responsibilities

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify individual needs and develops care plans accordingly.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates the effectiveness of the care management plan.
• Interfaces with Medical Directors and Physician Advisors on care plan development.
• Negotiates rates of reimbursement when applicable.
• Assists with problem solving with providers, claims, or service issues.

Skills

RN license

Multi-state licensure

Care coordination

Assessment skills

Education

BA/BS in health-related field

Job description

Elevance Health is seeking a Nurse Case Manager II to manage care for members with complex and chronic needs. Responsibilities include assessments, developing and coordinating care plans, and interfacing with providers and payors. Most duties are via telephonic or on-site discharge planning.

Requires a BA/BS in a health field, 5+ years clinical experience, current RN license, and multi-state licensure. Hybrid/remote work options apply under policy; travel may be required for trainings.