Remote Nurse Case Manager II - Multi-State Licensure

Elevance Health; Tampa (FL); Remote; USD 76,000 - 119,000; Full time

Benefits offered by this job

Hybrid work policy

Job summary

Elevance Health seeks a Telephonic Nurse Case Manager II to manage care for members with complex needs. This remote, full-time role requires a BA/BS in a health-related field, a current RN license, and multi-state licensure if serving multiple states.

Hours are standard and in-person training is required. The position emphasizes assessment, care planning, and coordination of services across the continuum, with collaboration with Medical Directors and Physician Advisors.

Qualifications

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

Responsibilities

• Provides telephonic case management for members with complex and chronic care needs.
• Assesses, develops, implements, coordinates, monitors, and evaluates care plans.
• Facilitates authorizations/referrals within benefits structure or via extra-contractual arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and updates as needed.
• Collaborates with Medical Directors and Physician Advisors on care plans.

Skills

RN license

Clinical experience

Multi-state licensure

Education

BA/BS in health-related field

Tools

Microsoft Office

Job description

Elevance Health seeks a Telephonic Nurse Case Manager II to manage care for members with complex needs. This remote, full-time role requires a BA/BS in a health-related field, a current RN license, and multi-state licensure if serving multiple states.

Hours are standard and in-person training is required. The position emphasizes assessment, care planning, and coordination of services across the continuum, with collaboration with Medical Directors and Physician Advisors.