Remote RN Clinician: Managed Care Coordinator

Elevance Health, Inc.; Florida; Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Merit increases

Paid holidays and PTO

Medical, dental, and vision benefits

Short and long-term disability

401(k) with match

Stock purchase plan

Life insurance

Wellness programs

Job summary

Elevance Health, Inc. seeks a Managed Care Coordinator - RN Clinician to oversee member case management across the care continuum in a flexible virtual environment. The role includes supervising non-RN clinicians and coordinating services with medical teams, focused on optimizing patient care.

You will perform assessments, develop care plans, and facilitate authorizations while collaborating with the Medical Directors and care teams. Training sessions are in-person as needed.

Qualifications

• HS diploma or equivalent required.
• Minimum of 3 years in service coordination or case management.
• Current, active RN license in Florida required; state specifics may apply.

Responsibilities

• Perform telephonic or face-to-face clinical assessments for member needs.
• Identify high-risk members and coordinate care.
• Manage members with chronic illnesses and disabilities.
• Develop individual care plans with member history and goals.
• Collaborate with members, caregivers, and medical directors on plans.
• Supervise non-RN clinicians coordinating services.
• Review performance of non-RN staff and provide input.

Skills

Clinical coordination

Care management

High-risk identification

Communication

Education

HS diploma

Tools

RN license Florida

Job description

Elevance Health, Inc. seeks a Managed Care Coordinator - RN Clinician to oversee member case management across the care continuum in a flexible virtual environment. The role includes supervising non-RN clinicians and coordinating services with medical teams, focused on optimizing patient care.

You will perform assessments, develop care plans, and facilitate authorizations while collaborating with the Medical Directors and care teams. Training sessions are in-person as needed.