Remote Oncology Nurse Case Manager I | Care Coordination

Elevance Health; St. Louis (MO); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Sign-on Bonus $3000

Job summary

Elevance Health seeks a Nurse Case Manager I - Oncology to manage complex patient care needs across the care continuum. This remote role supports assessments, care plan development, and coordination with hospitals and providers, including discharge planning.

Responsibilities include monitoring care plan effectiveness, collaborating with medical directors, and facilitating referrals within benefits structures. Oncologic experience is preferred; hybrid in-person training may be required.

Qualifications

• Requires BA/BS in a health related field and a minimum of 3 years of clinical experience.
• RN license in applicable state(s) is required and multi-state licensure is needed for multi-state service.

Responsibilities

• Perform care management for members with complex/chronic needs by assessing, developing, implementing, coordinating, monitoring and evaluating care plans.
• Conduct telephonic or on-site discharge planning and coordination with hospitals and providers.
• Coordinate internal/external resources and authorize referrals as appropriate.
• Monitor effectiveness of care plans and adjust as needed.
• Collaborate with Medical Directors and Physician Advisors on care plans.
• Negotiate appropriate rates of reimbursement when applicable.
• Assist in problem solving with providers, claims, or service issues.

Education

BA/BS in health related field

Job description

Elevance Health seeks a Nurse Case Manager I - Oncology to manage complex patient care needs across the care continuum. This remote role supports assessments, care plan development, and coordination with hospitals and providers, including discharge planning.

Responsibilities include monitoring care plan effectiveness, collaborating with medical directors, and facilitating referrals within benefits structures. Oncologic experience is preferred; hybrid in-person training may be required.