RN Case Manager I - Telephonic / Field - Northeast Kansas

Elevance Health (Anthem); Overland Park (KS); Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

Mileage reimbursement

Hybrid work model

Job summary

Elevance Health is hiring an RN Case Manager I for telephonic and field coverage in Northeast Kansas. The role requires travel of 10-15% to visit members, with the state of Kansas as a residence requirement.

The position supports member access to care, coordinates services, and develops individualized care plans in collaboration with medical leadership. Work is hybrid, with days from 8am–5pm, Monday through Friday, and a non-management exempt level.

Qualifications

• Requires BA/BS in a health-related field.
• Minimum 3 years of clinical experience or equivalent.
• Current, unrestricted RN license in Kansas.
• Strong computer proficiency preferred.

Responsibilities

• Ensures member access to services appropriate to their health needs.
• Conducts virtual and in-person assessments to identify needs and develop a care management plan.
• Implements care plans by facilitating authorizations/referrals within benefits or through extra-contractual arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates the care management plan and updates as needed in collaboration with Medical Directors and Physician Advisors.

Skills

RN licensure

Computer proficiency

Education

BA/BS in a health-related field

Minimum 3 years of clinical experience

Job description

RN Case Manager I - Telephonic / Field - Northeast Kansas

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands, on engagement.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Must reside in the state of Kansas.

Travel: 10- 15% travel in Northeast Kansas to visit members in person. Mileage reimbursed.

Counties: Will support the counties of Wyandotte, Johnson and Miami.

Work Hours: 8am - 5pm, Monday through Friday.

How you will make an impact:

• Ensures member access to services appropriate to their health needs.
• Conducts assessments virtually and in person to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
• Coordinates internal and external resources to meet identified needs.
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
• Negotiates rates of reimbursement, as applicable.
• Assists in problem solving with providers, claims or service issues.

Minimum Requirements:

Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.

Current, unrestricted RN license in the state of Kansas is required.

Preferred Skills, Capabilities and Experiences:

Computer proficiency strongly preferred.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed Nurse

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportuni