Remote Telephonic Nurse Case Manager II

Elevance Health; Atlanta (GA); Hybrid; USD 79,000 - 119,000; Full time

Benefits offered by this job

Benefits package

Equity stock purchase plan

401(k) contribution

Job summary

Elevance Health is seeking a Telephonic Nurse Case Manager II to provide care management for members with complex and chronic needs, primarily via phone. The role involves assessing needs, developing and coordinating care plans, and coordinating with providers and resources to optimize outcomes.

The position requires a BA/BS in a health-related field and a current RN license, with multi-state licensure if serving multiple states.

Qualifications

• Requires BA/BS in a health related field and minimum of 5 years of clinical experience.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure is required if this individual is providing services in multiple states.

Responsibilities

• Assess, develop, implement, coordinate, monitor and evaluate care plans to optimize member health care across the care continuum.
• Perform duties telephonically and ensure access to services.
• Coordinate internal and external resources and negotiate referrals/authorizations as appropriate.
• Monitor effectiveness of care plans and modify as needed.
• Collaborate with Medical Directors and Physician Advisors on care management treatment plans.

Skills

RN license

Multistate licensure

Clinical experience

Care management

Education

BA/BS in health related field

Tools

MS Office

Job description

Elevance Health is seeking a Telephonic Nurse Case Manager II to provide care management for members with complex and chronic needs, primarily via phone. The role involves assessing needs, developing and coordinating care plans, and coordinating with providers and resources to optimize outcomes.

The position requires a BA/BS in a health-related field and a current RN license, with multi-state licensure if serving multiple states.