Remote RN Case Manager I - Care Coordinator

Elevance Health, Inc.; Latham (NY); Remote; USD 67,000 - 121,000; Full time

Job summary

Elevance Health, Inc. is seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs. The role is remote with occasional in-person training, and some locations may require commuting distance to an office.

Work hours are Monday–Friday with alternating evening shift coverage. Primary duties include assessments, care plan development, authorizations, coordination of resources, and ongoing monitoring.

Qualifications

• Requires BA/BS in a health-related field and a minimum of 3 years of clinical experience.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required if providing services in multiple states.

Responsibilities

• Assess, develop, implement, coordinate, monitor and evaluate care plans for members with complex needs.
• Perform care management duties telephonically, including hospital discharge activities.
• Coordinate internal and external resources to meet identified needs.
• Facilitate authorizations/referrals within benefits structure or via extra-contractual arrangements.
• Monitor and evaluate care plan effectiveness and adjust as needed in collaboration with Medical Directors.

Skills

RN license

Multi-state licensure

BA/BS in health field

Clinical experience

Education

BA/BS in health-related field

Current RN license

Job description

Elevance Health, Inc. is seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs. The role is remote with occasional in-person training, and some locations may require commuting distance to an office.

Work hours are Monday–Friday with alternating evening shift coverage. Primary duties include assessments, care plan development, authorizations, coordination of resources, and ongoing monitoring.