Telephonic RN Nurse Case Manager I

Elevance Health; Seven Hills (OH); Remote; USD 68,000 - 114,000; Full time

Job summary

A leading health company is looking for a Telephonic RN Nurse Case Manager I. This role involves managing care for members with complex needs remotely, ensuring they access necessary healthcare services. Candidates must have a BA/BS in a health-related field, an RN license, and preferably have a strong clinical background. The position offers a salary range of $68,880 to $113,160, depending on qualifications and geographic location.

Benefits

Sign on bonus of $3000

Comprehensive benefits package

401(k) contributions

Qualifications

• Minimum of 3 years of clinical experience.
• Multi-state licensure is required.

Responsibilities

• Perform care management for members with complex needs.
• Conduct assessments and create care management plans.
• Coordinate resources to meet identified needs.

Skills

Strong clinical background in hospital settings

Ability to multitask

Excellent collaboration and communication skills

Education

BA/BS in a health-related field

Current, unrestricted compact RN license

Tools

Microsoft Office

Job description

Overview

Anticipated End Date: 2025-10-18

Position Title: Telephonic RN Nurse Case Manager I

Job Description:

Telephonic RN Nurse Case Manager I

Sign On Bonus: $3000

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

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.

Hours: Monday through Friday 10:30am – 7pm Central Time

Multi-State Licensure: This position services members in different states; therefore multi-state licensure will be required.

Responsibilities

• Performs care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
• Performs duties telephonically or on-site such as at hospitals for discharge planning.
• Ensures members understand benefits and assists in access of services appropriate to their health needs.
• Conducts assessments to identify individual needs and develops a specific care management plan to address objectives and goals.
• Implements care plan through actions based on assessments, including providing education and 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 other health professionals on the development of care management treatment plans.
• Assists in problem solving for members and providers related to access to care, vendors, 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 that would provide an equivalent background.
• Current, unrestricted compact RN license in your home state.
• Multi-state licensure is required if this individual is providing services in multiple states.

Preferred Capabilities, Skills and Experiences

• Strong clinical background in hospital settings (Med/Surg, ER, ICU, Critical Care).
• Ability to talk, type, and think critically while multitasking.
• Demonstrates critical thinking skills when interacting with members.
• Experience with Microsoft Office and/or ability to learn new computer programs/systems quickly.
• Ability to manage, review, and respond to emails/instant messages in a timely fashion.
• Excellent collaboration, communication and teamwork skills.

For candidates working in person or virtually in the locations listed, the salary range for this specific position is $68,880 to $113,160.

Locations: Colorado, Maryland, New Jersey, Washington State

Overview (Continued)

In addition to salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contributions (eligibility requirements apply). The salary offered is based on factors including geographic location, experience, education, and skill level. Equal pay opportunities are provided regardless of gender, race, or other protected categories.

Notes on Compensation and Benefits

The salary range is the range Elevance Health believes is the range of possible compensation at the time of posting. This range may be modified in the future. Final compensation will vary based on geographic location, work experience, education, and/or skill level. No amount is wages/compensation until earned and determinable under applicable policies. Bonus, commissions, and other benefits are at the Company’s discretion unless paid per policy.

Job Level: Non-Management Exempt

Work Shift: 2nd Shift (United States of America)

Job Family: MED > Licensed Nurse

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Unsolicited resumes are the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities. We are a Fortune 25 company seeking leaders at all levels who are passionate about making an impact on our members and the communities we serve.

How We Work

We are creating a culture that advances our strategy and supports personal and professional growth. Our values drive our culture, business outcomes, and shared success for consumers, associates, communities, and the business.

We offer market-competitive total rewards including merit increases, paid holidays, PTO, incentive programs, medical/dental/vision, disability benefits, 401(k) with match, stock purchase plan, life insurance, wellness programs, and financial education resources, subject to eligibility.

Elevance Health operates 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.

The health of our associates and communities is a top priority. We require all new candidates in certain patient/member-facing roles to be vaccinated against COVID-19 and Influenza, with accommodations per policy. Elevance Health follows applicable laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration without regard to protected characteristics. Applicants requiring accommodation to participate in the job application process may contact [e-mail] for assistance. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.