RN Case Manager (Telephonic & Field) – Care Coordination

The Elevance Health Companies, Inc.; Overland Park (KS); On-site; USD 60,000 - 75,000; Full time

Job summary

RN Case Manager I – Telephonic / Field – Northeast Kansas. The role is field‑based with 10‑15% travel across Wyandotte, Johnson and Miami counties. Requires residence in Kansas and current RN license. Schedule: 8am – 5pm, Monday‑Friday.

Responsibilities include ensuring member access to health services, conducting assessments, implementing care plans, coordinating resources and interfacing with medical leadership.

Qualifications

• BA/BS in a health-related field and minimum 3 years of clinical experience; or equivalent combination of education and experience.
• Current, unrestricted RN license in Kansas.
• Computer proficiency strongly preferred.

Responsibilities

• Ensure member access to appropriate health services.
• Conduct assessments virtually and in person to identify needs and develop care plans.
• Implement care plans by facilitating authorizations/referrals within benefits structure.
• Coordinate internal and external resources to meet identified needs.
• Monitor and evaluate effectiveness of care plans, modifying as necessary.
• Interface with Medical Directors and Physician Advisors on treatment plans.
• Negotiate reimbursement rates as applicable.
• Assist in problem solving with providers, claims or service issues.

Skills

Strong communication

Coordination skills

Medicaid experience

Complex chronic care management

Education

Bachelor's degree in health-related field

RN license in Kansas

Tools

Computer proficiency

Job description

RN Case Manager I – Telephonic / Field – Northeast Kansas. The role is field‑based with 10‑15% travel across Wyandotte, Johnson and Miami counties. Requires residence in Kansas and current RN license. Schedule: 8am – 5pm, Monday‑Friday.

Responsibilities include ensuring member access to health services, conducting assessments, implementing care plans, coordinating resources and interfacing with medical leadership.