Telephonic Nurse Case Manager Lead (Remote)

Elevance Health; Indianapolis (IN); Remote; USD 90,000 - 134,000; Full time

Benefits offered by this job

Sign-on Bonus

Job summary

Elevance Health seeks a Telephonic Nurse Case Manager Lead to oversee complex care management for members, coordinating plans, referrals, and resources to optimize health outcomes. The role blends telephonic care with on-site possibilities for discharge planning, with training in-person sessions as required.

Requires an RN license and a BA/BS in a health field, plus case management certification within 3 years.

Qualifications

• RN license required in applicable state(s).
• BA/BS in a health-related field or equivalent combination of education/experience.

Responsibilities

• Lead care management for complex, chronic patients and develop care plans.
• Coordinate authorizations/referrals and utilize resources to meet patient needs.
• Monitor outcomes, evaluate care plans, and adjust as needed.
• Collaborate with Medical Directors and Physicians Advisors on treatment plans.
• Coach and develop junior staff and support day-to-day operations.

Skills

Case management

Discharge planning

Interdisciplinary collaboration

Education

RN license (unrestricted)

BA/BS in health-related field

Case management certification within 3 years

Job description

Elevance Health seeks a Telephonic Nurse Case Manager Lead to oversee complex care management for members, coordinating plans, referrals, and resources to optimize health outcomes. The role blends telephonic care with on-site possibilities for discharge planning, with training in-person sessions as required.

Requires an RN license and a BA/BS in a health field, plus case management certification within 3 years.