Remote Telephonic Nurse Case Manager I

Elevance Health, Inc.; Port Reading (NJ); Remote; USD 67,000 - 116,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive programs

Equity stock purchase

401(k) contribution

Job summary

Elevance Health is seeking a Telephonic Nurse Case Manager I to manage care for members with complex and chronic needs. The role is remote with required in-person training and periodic in-office sessions, serving multiple states under licensure guidelines.

You will assess needs, build and implement care plans, and coordinate authorizations and resources accordingly. The position requires an active RN license, multi-state licensure, and a BA/BS in a health-related field with 3+ years of clinical

Qualifications

• BA/BS in a health-related field required (or equivalent).
• Current, unrestricted RN license in applicable state(s).
• Multi-state licensure required if providing services in multiple states.

Responsibilities

• Assess and coordinate care management for members with complex and chronic needs.
• Develop, implement, monitor, and evaluate care plans within licensure scope.
• Coordinate authorizations/referrals within benefits or through extra-contractual arrangements.
• Interface with Medical Directors and Physician Advisors on care plans.
• Monitor effectiveness of care plans and modify as needed.
• Provide telephonic care management and coordinate internal/external resources.

Skills

RN license (unrestricted)

Multi-state licensure

BA/BS in health field

3+ years clinical experience

Education

BA/BS in health-related field

Job description

Elevance Health is seeking a Telephonic Nurse Case Manager I to manage care for members with complex and chronic needs. The role is remote with required in-person training and periodic in-office sessions, serving multiple states under licensure guidelines.

You will assess needs, build and implement care plans, and coordinate authorizations and resources accordingly. The position requires an active RN license, multi-state licensure, and a BA/BS in a health-related field with 3+ years of clinical