Remote Telephonic Nurse Case Manager II

Elevance Health; Atlanta (GA); Remote; USD 76,000 - 119,000; Full time

Job summary

Elevance Health seeks a Telephonic Nurse Case Manager II to manage care plans for members with complex needs. The role is remote with some in-person training, requiring a valid RN license and multi-state licensure where applicable.

Candidates should have a BA/BS in a health-related field and at least five years of clinical experience, with strong assessment and communication skills to coordinate authorizations and resources across the care continuum.

Qualifications

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

Responsibilities

• Provides telephonic care management for members with complex and chronic conditions.
• Assesses member needs and develops individualized care plans.
• Coordinates authorizations/referrals within benefits or through extra-contractual arrangements.
• Collaborates with internal and external resources to meet identified needs.
• Monitors outcomes and updates care plans as needed.
• Interacts with Medical Directors and Physician Advisors on care plans.

Skills

Case Management

RN license

Multi-state licensure

Communication

Assessments

Microsoft Office

Education

BA/BS in health-related field

Job description

Elevance Health seeks a Telephonic Nurse Case Manager II to manage care plans for members with complex needs. The role is remote with some in-person training, requiring a valid RN license and multi-state licensure where applicable.

Candidates should have a BA/BS in a health-related field and at least five years of clinical experience, with strong assessment and communication skills to coordinate authorizations and resources across the care continuum.