Virtual Nurse Case Manager I: Care Coordination Specialist

Elevance Health; Boght Corners (NY); Hybrid; USD 71,000 - 111,000; Full time

Job summary

Elevance Health is hiring a Nurse Case Manager I to manage care for members with complex and chronic needs. The role operates virtually full-time with required in-person training, offering flexibility and autonomy.

Alternate locations may be considered if commuting distance to an office is feasible. Salary ranges between $70,560 and $110,880 for candidates in New York or Connecticut, with comprehensive benefits and a hybrid work approach.

Qualifications

• Requires BA/BS in a health-related field and at least 3 years of clinical experience
• Current, unrestricted RN license in applicable state(s) required
• Multi-state licensure required if providing services in multiple states

Responsibilities

• Perform care management within licensure scope for members with complex/chronic needs
• Assess, develop, implement, coordinate, monitor, and evaluate care plans
• Coordinate authorizations/referrals within benefits or through extra-contractual arrangements
• Interface with Medical Directors and Physician Advisors on treatment plans
• Coordinate internal/external resources to meet identified needs
• Monitor effectiveness and modify care plans as needed

Skills

Clinical experience

RN license

Multistate licensure

Education

BA/BS in health related field

Job description

Elevance Health is hiring a Nurse Case Manager I to manage care for members with complex and chronic needs. The role operates virtually full-time with required in-person training, offering flexibility and autonomy.

Alternate locations may be considered if commuting distance to an office is feasible. Salary ranges between $70,560 and $110,880 for candidates in New York or Connecticut, with comprehensive benefits and a hybrid work approach.