Virtual Nurse Case Manager I — Flexible Schedule & Onboarding

Elevance Health, Inc.; Ashburn (VA); Remoto; USD 67.000 - 121.000; Tempo pieno

Vantaggi offerti da questo lavoro

Benefits package

401(k) + match

Stock purchase plan

Hybrid/virtual work options

Descrizione del lavoro

Elevance Health is seeking a Nurse Case Manager I to perform telephonic care management for members with complex needs. Role is fully virtual with occasional in-person trainings, within a hybrid/onsite policy as needed.

Primary duties include assessing needs, coordinating care plans, and interfacing with providers and payors to optimize outcomes. Requires RN license and BS/BA in a health field; multi-state licensure preferred.

Competenze

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

Mansioni

• Assess, develop, implement, coordinate, monitor care plans for complex needs.
• Coordinate authorizations/referrals within benefits or extra-contractual arrangements.
• Monitor effectiveness and modify care plans; interface with Medical Directors.
• Assist in problem solving with providers, claims, or service issues.

Conoscenze

RN licensure

Care management

Telephonic care

Interdisciplinary coordination

Formazione

BA/BS in health field

Descrizione del lavoro

Elevance Health is seeking a Nurse Case Manager I to perform telephonic care management for members with complex needs. Role is fully virtual with occasional in-person trainings, within a hybrid/onsite policy as needed.

Primary duties include assessing needs, coordinating care plans, and interfacing with providers and payors to optimize outcomes. Requires RN license and BS/BA in a health field; multi-state licensure preferred.