Remote Telephonic Nurse Case Manager II – CA

The Elevance Health Companies, Inc.; Los Angeles (CA); Híbrido; USD 55 000 - 90 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Comprehensive benefits package

401(k) + match

Stock purchase program

Incentive programs

Resumo da oferta

The Elevance Health Companies, Inc. in California is seeking a Telephonic Nurse Case Manager II to assess, plan and coordinate care for members with complex needs.

This hybrid/remote role allows remote work with required in-person training sessions to support onboarding and skill development. Responsibilities include conducting assessments, creating and managing care plans, coordinating authorizations/referrals, and monitoring outcomes across the care continuum.

Qualificações

• Requires BA/BS in a health-related field and a minimum of 5 years of clinical experience.
• Current, unrestricted RN license in California is required.
• Multi-state licensure is required for service in multiple states.
• Case management experience is preferred.

Responsabilidades

• Assess, develop, implement, coordinate, monitor and evaluate care plans for complex and chronic care members.
• Perform duties telephonically and ensure access to appropriate services.
• Coordinate authorizations/referrals within benefits structure and external arrangements.
• Collaborate with Medical Directors and Physician Advisors to develop treatment plans.
• Monitor and adjust care management plans based on outcomes.

Conhecimentos

RN license

CA licensure

Multi-state licensure

Case management

Microsoft Office

Formação académica

BA/BS in health-related field

Ferramentas

Microsoft Office

Descrição da oferta de emprego

The Elevance Health Companies, Inc. in California is seeking a Telephonic Nurse Case Manager II to assess, plan and coordinate care for members with complex needs.

This hybrid/remote role allows remote work with required in-person training sessions to support onboarding and skill development. Responsibilities include conducting assessments, creating and managing care plans, coordinating authorizations/referrals, and monitoring outcomes across the care continuum.