Remote Telephonic Nurse Case Manager I

Elevance Health; Tampa (FL); Remote; USD 67,000 - 116,000; Full time

Job summary

Elevance Health is seeking a Telephonic Nurse Case Manager I to manage care for members with complex needs. The role is remote with occasional in-person training and requires multi-state licensure to serve members in multiple states.

Responsibilities include assessing needs, coordinating care plans, and working with Medical Directors and providers to optimize outcomes. A BA/BS in a health-related field and an active RN license are required.

Qualifications

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

Responsibilities

• Perform care management telephonically within licensure scope.
• Assess, develop, implement, coordinate, monitor and evaluate care plans across the care continuum.
• Facilitate authorizations/referrals within benefits structure or via extra-contractual arrangements.

Skills

Clinical experience

Multi-state licensure

Case management experience

RN licensure

Education

BA/BS in health-related field

RN license (active)

Job description

Elevance Health is seeking a Telephonic Nurse Case Manager I to manage care for members with complex needs. The role is remote with occasional in-person training and requires multi-state licensure to serve members in multiple states.

Responsibilities include assessing needs, coordinating care plans, and working with Medical Directors and providers to optimize outcomes. A BA/BS in a health-related field and an active RN license are required.