Telephonic Nurse Case Manager ll

Elevance Health; Atlanta (GA); Remote; USD 76,000 - 121,000; Full time

Job summary

Elevance Health is seeking a Telephonic Nurse Case Manager II to manage care for members with complex needs. This remote role requires a BA/BS in a health-related field and a current RN license. The position involves telephonic assessments, care plan development, and collaboration with healthcare professionals. A competitive salary and comprehensive benefits are offered.

Benefits

Comprehensive health plans

401(k)

Stock purchase

Qualifications

• 5 years of clinical experience or equivalent education.
• Current RN license in applicable state(s).

Responsibilities

• Perform care management for members with complex needs via telephonic assessments.
• Collaborate with Medical Directors on treatment plans.

Skills

Case Management

Telephonic Case Management

Collaboration

Education

BA/BS in health-related field

Tools

Microsoft Office

Job description

Join to apply for the Telephonic Nurse Case Manager II role at Elevance Health.

Position Details:

• Location: Virtual - enabling full-time remote work with required in-person training sessions. This promotes flexibility, productivity, and work-life balance.
• Hours: Monday - Friday, 9:00am to 5:30pm EST, with one late evening shift from 11:30am to 8:00pm EST.

Additional Requirements:

• Multi-State Licensure required as service will be provided across different states.
• Online pre-employment skills assessment required, to be completed within 48 hours of receipt.

Job Responsibilities:

• Perform care management for members with complex and chronic needs via telephonic assessments, care plan development, coordination, and evaluation.
• Ensure access to appropriate services, facilitate authorizations/referrals, coordinate resources, and monitor care effectiveness.
• Collaborate with Medical Directors and Physician Advisors on treatment plans.

Minimum Requirements:

• BA/BS in health-related field and 5 years of clinical experience, or equivalent education and experience.
• Current RN license in applicable state(s).

Preferred Skills and Experience:

• Case Management certification, telephonic case management experience, and managed care experience.
• Proficiency with Microsoft Office and ability to learn new systems quickly.
• Minimum 2 years' experience in acute care and telephonic case management preferred.

Compensation: Salary range $76,944 to $120,912, based on location and experience. Benefits include comprehensive health plans, 401(k), stock purchase, and more.

About Elevance Health: A Fortune 25 health company committed to improving lives through innovative healthcare solutions. We value diversity, inclusion, and equal opportunity employment.