Remote RN Case Manager I - Flexible Care Coordination

Elevance Health (Anthem); Boght Corners (NY); Remote; USD 71,000 - 106,000; Full time

Job summary

Elevance Health is seeking a Nurse Case Manager I (RN) for a fully remote role, with required in-person training sessions. The position supports virtual collaboration across New York, with a Monday–Friday schedule and occasional late shifts.

Responsibilities include assessing member needs, planning care, facilitating referrals, coordinating resources, and monitoring outcomes. Minimum requirements include a BA/BS in a health-related field, 3 years of clinical experience, and an active RN license

Qualifications

• Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience providing equivalent background.
• Current, unrestricted RN license in applicable state(s) required; multi-state licensure upon hire.

Responsibilities

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify needs and create a care management plan to address objectives.
• Implements care plan by facilitating authorizations/referrals within benefits or through 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.

Skills

Case management

Education

BA/BS in health-related field

RN license

Job description

Elevance Health is seeking a Nurse Case Manager I (RN) for a fully remote role, with required in-person training sessions. The position supports virtual collaboration across New York, with a Monday–Friday schedule and occasional late shifts.

Responsibilities include assessing member needs, planning care, facilitating referrals, coordinating resources, and monitoring outcomes. Minimum requirements include a BA/BS in a health-related field, 3 years of clinical experience, and an active RN license