Remote Telephonic Nurse Case Manager I

Elevance Health; Latham (NY); Hybrid; USD 71,000 - 111,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Job summary

Elevance Health seeks a Telephonic Nurse Case Manager I to manage care for members with complex needs, conducting assessments, planning and coordinating care telephonically. The role requires a BA/BS in a health field and an unrestricted RN license, with multi-state licensure when applicable.

Hybrid/virtual work is offered with in-person training and occasional on-site requirements. The salary range reflects both location and policy for benefits and incentives.

Qualifications

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

Responsibilities

• Perform telephonic care management within licensure scope for members with complex needs.
• Assess, develop, implement, coordinate, monitor and evaluate care plans.
• Facilitate authorizations/referrals within benefits structure or via extra-contractual arrangements.
• Coordinate internal and external resources to meet identified needs.
• Monitor and adjust care plans; liaise with Medical Directors and Physician Advisors.

Skills

Multi-State Licensure

Case Management Certification

Education

BA/BS in health-related field

RN license (unrestricted)

Job description

Elevance Health seeks a Telephonic Nurse Case Manager I to manage care for members with complex needs, conducting assessments, planning and coordinating care telephonically. The role requires a BA/BS in a health field and an unrestricted RN license, with multi-state licensure when applicable.

Hybrid/virtual work is offered with in-person training and occasional on-site requirements. The salary range reflects both location and policy for benefits and incentives.