Remote Telephonic RN Case Manager II

The Elevance Health Companies, Inc.; Indianapolis (IN); Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

Paid Time Off

401(k) + match

Stock purchase plan

Medical

Dental

Vision

Job summary

Elevance Health is seeking a Telephonic RN Nurse Case Manager II - AmeriBen to coordinate member care and facilitate services across the benefits structure in a fully remote, full-time capacity.

The role requires an active RN license and multi-state licensure where applicable, with in-person training sessions. You will conduct assessments, build care plans, arrange referrals, and collaborate with medical staff to optimize outcomes while adhering to guidelines.

Qualifications

• Requires BA/BS in a health-related field and clinical experience; RN license valid in applicable states.
• Current, unrestricted RN license in applicable state(s) required.
• Multi-state licensure required if providing services in multiple states.

Responsibilities

• Ensures member access to services appropriate to their health needs.
• Conducts assessments to identify needs and develops a care management plan.
• Implements care plan by facilitating authorizations/referrals within benefits or through arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and updates as needed.
• Interfaces with Medical Directors and Physician Advisors on care plans.

Skills

Utilization review

Prior authorization

Clinical case management

Microsoft Office

Email/communication

Education

Bachelor of Science in Nursing (BSN)

Job description

Elevance Health is seeking a Telephonic RN Nurse Case Manager II - AmeriBen to coordinate member care and facilitate services across the benefits structure in a fully remote, full-time capacity.

The role requires an active RN license and multi-state licensure where applicable, with in-person training sessions. You will conduct assessments, build care plans, arrange referrals, and collaborate with medical staff to optimize outcomes while adhering to guidelines.