Remote Nurse Case Manager II – Telephonic Care Coordination

Elevance Health, Inc.; Norfolk (VA); Hybrid; USD 76,000 - 119,000; Full time

Job summary

Elevance Health, Inc. seeks a Telephonic Nurse Case Manager II to provide remote care management for members with complex needs. The role emphasizes telephonic assessment, coordination of care, and collaboration with clinicians to optimize health outcomes across the continuum.

Requires a BA/BS in a health-related field, an active RN license, and multi-state licensure. Five years of clinical/case management experience and proficiency with Microsoft Office are preferred.

Qualifications

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

Responsibilities

• Care management within licensure scope for members with complex and chronic care needs.
• Assess, develop, implement, coordinate, monitor, and evaluate care plans across the care continuum.
• Perform duties telephonically.
• Ensure member access to services appropriate to health needs.
• Coordinate internal and external resources to meet identified needs.
• Monitor and modify care plans; interface with Medical Directors and Physician Advisors.

Skills

Case management experience

Case Manager certification

Microsoft Office

Multistate licensure

Education

BA/BS in health-related field

Job description

Elevance Health, Inc. seeks a Telephonic Nurse Case Manager II to provide remote care management for members with complex needs. The role emphasizes telephonic assessment, coordination of care, and collaboration with clinicians to optimize health outcomes across the continuum.

Requires a BA/BS in a health-related field, an active RN license, and multi-state licensure. Five years of clinical/case management experience and proficiency with Microsoft Office are preferred.