Remote RN: OB/NICU/Peds Case Manager I

Elevance Health; Fayetteville (NC); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Elevance Health is hiring an OB/NICU/PEDs Nurse Case Manager I in North Carolina. The role focuses on telephonic care management for members with complex and chronic needs, assessing and coordinating care plans within licensure scope.

Requires an RN license in NC and a BA/BS in a health field with 3+ years of clinical experience; multi-state licensure is required for cross-state services. Hybrid/virtual work with in-person training is available.

Qualifications

• Requires BA/BS in a health-related field and minimum of 3 years of clinical experience or equivalent.
• Current, unrestricted RN license in North Carolina; multi-state licensure if practicing in multiple states.
• Certification as a Case Manager is preferred.

Responsibilities

• Ensures member access to services appropriate to health needs.
• Conducts assessments to identify needs and develops a care management plan.
• Implements care plan by facilitating authorizations/referrals within benefits or through agreements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates care management plan effectiveness and updates as needed.

Job description

Elevance Health is hiring an OB/NICU/PEDs Nurse Case Manager I in North Carolina. The role focuses on telephonic care management for members with complex and chronic needs, assessing and coordinating care plans within licensure scope.

Requires an RN license in NC and a BA/BS in a health field with 3+ years of clinical experience; multi-state licensure is required for cross-state services. Hybrid/virtual work with in-person training is available.