Remote RN Case Manager - Flexible, Multistate Licensure

Elevance Health; Central City (CO); Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase plan

401(k) matching

Job summary

Elevance Health seeks a Nurse Case Mgr II (RN) to manage complex and chronic care needs across members. The role emphasizes virtual care, care coordination, and collaboration with medical directors to optimize outcomes. Multi-state licensure is required at hire.

The position operates with a hybrid/virtual framework, offering flexible scheduling and a focus on quality outcomes, patient access, and program evaluation. Strong nursing experience in managed care is essential.

Qualifications

• BA/BS in a health-related field.
• Current, unrestricted RN license in applicable state(s) is required.
• Multi-state RN licensure is required for providing services in multiple states upon hire.

Responsibilities

• Conduct assessments to identify needs and develop a care management plan.
• Assist in facilitating authorizations/referrals within benefits structure.
• Monitor and evaluate effectiveness of the care management plan and modify as needed.
• Interface with Medical Directors and other health professionals on care management plans.
• Assist in problem solving with providers, claims or service issues.
• Assist with development of utilization/care management policies and procedures.

Skills

Telephonic nursing

Virtual nursing

Managed care

Microsoft Office

Communication skills

Education

BA/BS in health field

RN license in applicable state(s)

Tools

EMR systems

Multi-state licensure

Job description

Elevance Health seeks a Nurse Case Mgr II (RN) to manage complex and chronic care needs across members. The role emphasizes virtual care, care coordination, and collaboration with medical directors to optimize outcomes. Multi-state licensure is required at hire.

The position operates with a hybrid/virtual framework, offering flexible scheduling and a focus on quality outcomes, patient access, and program evaluation. Strong nursing experience in managed care is essential.