RN Case Manager I — Impactful Member Care Coordinator

Elevance Health, Inc.; New York (NY); On-site; USD 71,000 - 106,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase and 401k

Job summary

Elevance Health in Latham, NY, seeks a Nurse Case Manager I (RN) to perform care management for members with complex needs. The role focuses on assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize health outcomes.

Qualifications include a BA/BS in a health-related field, and a minimum of 3 years of clinical experience with an unrestricted RN license. Multi‑state licensure is required upon hire and Case Manager certification is preferred.

Qualifications

• Minimum of 3 years of clinical experience.
• RN license in applicable state(s) required.
• Multi-state licensure required upon hire.
• Certification as a Case Manager preferred.

Responsibilities

• Ensure member access to services appropriate to health needs.
• Conduct assessments to identify needs and develop care management plans.
• Implement care plans by facilitating authorizations/referrals as appropriate.
• Coordinate internal and external resources to meet identified needs.
• Monitor and evaluate effectiveness of care plans and adjust as needed.
• Interface with Medical Directors and Physician Advisors on care plans.
• Assist in problem solving with providers, claims, or service issues.

Skills

Care coordination

Assessments

Care plan development

Interdisciplinary collaboration

Education

BA/BS in a health-related field

Job description

Elevance Health in Latham, NY, seeks a Nurse Case Manager I (RN) to perform care management for members with complex needs. The role focuses on assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize health outcomes.

Qualifications include a BA/BS in a health-related field, and a minimum of 3 years of clinical experience with an unrestricted RN license. Multi‑state licensure is required upon hire and Case Manager certification is preferred.