Remote Nurse Case Manager II - Multi-State RN

Elevance Health, Inc.; Atlanta (GA); Remote; USD 75,000 - 95,000; Full time

Job summary

Elevance Health, Inc. seeks a Nurse Case Manager II to coordinate care for members with complex needs, primarily via telephonic contact and on-site discharge planning when required.

Responsibilities include assessing needs, developing care plans, coordinating referrals, monitoring outcomes, and collaborating with Medical Directors to optimize health outcomes. Requires multi-state licensure and strong clinical background.

Qualifications

• Requires BA/BS in a health-related field.
• Current, unrestricted RN license in applicable home state.
• Multi-state licensure required for multi-state service.

Responsibilities

• Assesses, develops, implements, coordinates, monitors and evaluates care plans for members with complex needs.
• Performs care management telephonically or on-site, including discharge planning.
• Ensures access to services appropriate to health needs and coordinates referrals.
• Interfaces with Medical Directors and Physician Advisors on care management plans.
• Negotiates reimbursement rates as applicable and supports problem solving with providers.
• Contributes to utilization/care management policies and procedures.

Skills

Care management

RN license

Multistate licensure

Education

BA/BS in health-related field

Job description

Elevance Health, Inc. seeks a Nurse Case Manager II to coordinate care for members with complex needs, primarily via telephonic contact and on-site discharge planning when required.

Responsibilities include assessing needs, developing care plans, coordinating referrals, monitoring outcomes, and collaborating with Medical Directors to optimize health outcomes. Requires multi-state licensure and strong clinical background.