Remote Nurse Case Manager II (RN) – Multi-State

Elevance Health; Carson City (NV); A distancia; USD 79.000 - 131.000; Jornada completa

Descripción de la vacante

Elevance Health seeks a Nurse Case Manager II (RN) to manage care for members with complex and chronic conditions. This 100% telephonic role requires multi-state licensure and ongoing coordination with care teams.

The position supports a virtual-first work model with occasional in-person training and regional adjustments as needed. California RN licensure is preferred; requires 5+ years clinical experience and 2+ years in case management.

Formación

• Requires BA/BS in a health-related field and 5+ years of clinical experience.
• Current, unrestricted RN license in applicable state(s).
• Multi-state RN licensure required for providing services in multiple states upon hire.
• California RN license highly preferred.
• Telephonic and/or virtual nursing experience.
• Managed Care experience.
• 2+ years direct Case Management experience.
• 1st Shift schedule with some evening shifts.

Responsabilidades

• Care management within licensure scope for members with complex and chronic care needs.
• Screening, assessing, stratifying risk, planning, implementing care coordination, follow-up.
• Transitioning (transitional care) and evaluating outcomes.
• Coordinate internal and external resources to meet identified needs.
• Interface with Medical Directors and other health professionals on care plans.
• Support problem solving with providers, claims, or service issues.

Conocimientos

Active California RN license

Case management experience

Telephonic/virtual nursing

Managed care experience

Microsoft Office

Speak and type concurrently

Educación

BA/BS in health-related field

RN license (unrestricted)

Herramientas

Microsoft Office suite

Descripción del empleo

Elevance Health seeks a Nurse Case Manager II (RN) to manage care for members with complex and chronic conditions. This 100% telephonic role requires multi-state licensure and ongoing coordination with care teams.

The position supports a virtual-first work model with occasional in-person training and regional adjustments as needed. California RN licensure is preferred; requires 5+ years clinical experience and 2+ years in case management.