Elevance Health
Join to apply for the
Nurse Case Manager I
role at
Elevance Health .
Hours: Monday thru Friday 10:30am – 7pm Central Time.
Location: This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions.
Sign On Bonus: $3000.
Telephonic RN Nurse Case Manager
This position will service members in different states; therefore Multi‑State Licensure will be required.
How You Will Make An Impact
Ensures members understand benefits and assists in accessing services appropriate to their health needs.
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
Implements care plan through actions based on assessments including providing education, 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
BA/BS in a health‑related field and minimum of 3 years of clinical experience; or any combination of education and experience that provides 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 setting, e.g., Med Surg, ER, ICU, Critical Care.
Ability to talk, type and think critically at the same time.
Demonstrates critical thinking skills when interacting with members.
Experience with Microsoft Office and/or ability to learn new computer programs/systems/software quickly.
Ability to manage, review and respond to emails/instant messages in a timely fashion.
Excellent collaboration, communication and teamwork skills.
Employment Details
Seniority level: Mid‑Senior Level
Employment type: Full‑time
Job function: Health Care Provider
Industries: Hospitals and Health Care
Candidate vaccination: We require all new candidates in certain patient/member‑facing roles to be vaccinated against COVID‑19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state, and local laws.
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.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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Nurse Case Manager I
role at
Elevance Health .
Hours: Monday thru Friday 10:30am – 7pm Central Time.
Location: This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions.
Sign On Bonus: $3000.
Telephonic RN Nurse Case Manager
This position will service members in different states; therefore Multi‑State Licensure will be required.
How You Will Make An Impact
Ensures members understand benefits and assists in accessing services appropriate to their health needs.
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
Implements care plan through actions based on assessments including providing education, 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
BA/BS in a health‑related field and minimum of 3 years of clinical experience; or any combination of education and experience that provides 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 setting, e.g., Med Surg, ER, ICU, Critical Care.
Ability to talk, type and think critically at the same time.
Demonstrates critical thinking skills when interacting with members.
Experience with Microsoft Office and/or ability to learn new computer programs/systems/software quickly.
Ability to manage, review and respond to emails/instant messages in a timely fashion.
Excellent collaboration, communication and teamwork skills.
Employment Details
Seniority level: Mid‑Senior Level
Employment type: Full‑time
Job function: Health Care Provider
Industries: Hospitals and Health Care
Candidate vaccination: We require all new candidates in certain patient/member‑facing roles to be vaccinated against COVID‑19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state, and local laws.
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.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
#J-18808-Ljbffr