Remote RN Care Coordinator for Chronic Illness

Elevance Health (Anthem); Miami (FL); Hybrid; USD 70,000 - 95,000; Full time

Job summary

Elevance Health is seeking a Managed Care Coordinator-RN Clinician in Florida to conduct telephonic or in-person assessments and coordinate care for members with complex health needs. The role emphasizes collaboration with healthcare teams and care plan development.

As an RN with 3+ years of experience, you will develop individualized plans, monitor progress, and ensure appropriate utilization of benefits. Hybrid work with required in-person training supports ongoing skill development.

Qualifications

• Requires HS diploma or equivalent and minimum 3 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a service coordination/case management role.
• Current, active, valid RN license in Florida required.
• Bilingual Spanish/English or Creole/English preferred.
• Travel to worksite and other locations as necessary.

Responsibilities

• Perform telephonic or face-to-face clinical assessments for identification, evaluation and management of members' needs.
• Identify high risk members and coordinate care with the member and health care team.
• Manage members with chronic illnesses to optimize cost-effective use of health benefits.
• Develop a care plan from thorough member history and set short/long term goals.
• Interface with Medical Directors and other clinicians to develop and revise care plans.

Skills

RN license

Bilingual Spanish/English

Education

HS diploma or equivalent

Job description

Elevance Health is seeking a Managed Care Coordinator-RN Clinician in Florida to conduct telephonic or in-person assessments and coordinate care for members with complex health needs. The role emphasizes collaboration with healthcare teams and care plan development.

As an RN with 3+ years of experience, you will develop individualized plans, monitor progress, and ensure appropriate utilization of benefits. Hybrid work with required in-person training supports ongoing skill development.