Remote RN Case Manager I: Care Coordination

Elevance Health, Inc.; Atlanta (GA); Remote; USD 71,000 - 106,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase

401(k) contribution

Job summary

Elevance Health is seeking a Nurse Case Mgr I (RN) to perform care management for members with complex needs, primarily telephonically. The role is virtual, with required in-person training and a Monday–Friday 9:00 am–5:30 pm (EST) schedule, plus two to four late evening shifts monthly.

Minimum qualifications include a BA/BS in a health-related field, 3 years of clinical experience, and an unrestricted RN license with multi-state licensure on hire.

Qualifications

• Requires BA/BS in a health-related field and minimum of 3 years of clinical experience or equivalent.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required upon hire.

Responsibilities

• Ensures member access to services appropriate to health needs.
• Conducts assessments to identify needs and develop care management plans.
• Implements care plan by facilitating authorizations/referrals within benefits or extra-contractual arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
• Interfaces with Medical Directors and Physician Advisors on care management treatment plans.
• Assists in problem solving with providers, claims or service issues.

Skills

Case management

Certification (preferred)

Education

BA/BS in health-related field

RN license (unrestricted)

Multi-state licensure on hire

Job description

Elevance Health is seeking a Nurse Case Mgr I (RN) to perform care management for members with complex needs, primarily telephonically. The role is virtual, with required in-person training and a Monday–Friday 9:00 am–5:30 pm (EST) schedule, plus two to four late evening shifts monthly.

Minimum qualifications include a BA/BS in a health-related field, 3 years of clinical experience, and an unrestricted RN license with multi-state licensure on hire.