Elevance Health
Nurse wounds
Case Manager II
– Elevance Health Join Elevance Health in managing complex and chronic care needs for members, ensuring optimal health outcomes and coordinating resources across the care continuum.
Location New York.
Work is primarily virtual with required in‑person training sessions.
Work Schedule Monday to Friday 9:00 AM–5:30 PM EST, with 2–4 late‑evening shifts per month (11:30 AM–8:00 PM EST).
Base Pay Range $76,944.00/yr – $115,416.00/yr.
Responsibilities & Impact
Ensures member access to services appropriate to their health needs.
Conducts assessments to identify individual needs and develop a care management plan.
Implements the plan by facilitating authorizations/referrals within benefits or through extra‑contractual arrangements.
Coordinates internal and external resources to meet identified needs.
Monitors and evaluates effectiveness of the care plan, modifying as necessary; interfaces with Medical Directors and Physician Advisors on treatment plans.
Negotiates reimbursement rates as applicable.
Assists in problem solving with providers, claims, or service issues.
Assists with development of utilization/care management policies and procedures.
Minimum Requirements
BA/BS in a health‑related field and a minimum of 5 years of clinical experience; or equivalent education/experience.
Current unrestricted RN license in the applicable state(s).
Multi‑state licensure if services are provided in multiple states.
Preferred Experience, Skills, and Capabilities
Certification and experience as a Case Manager is preferred.
BS in a health or human services related field preferred.
Experience in telephonic case management, especially for complex and chronic care needs, is strongly preferred.
Preferred proficiency with telephonic systems and health information technology.
Benefits In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution, all subject to eligibility requirements.
Equal Employment Opportunity 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.
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Case Manager II
– Elevance Health Join Elevance Health in managing complex and chronic care needs for members, ensuring optimal health outcomes and coordinating resources across the care continuum.
Location New York.
Work is primarily virtual with required in‑person training sessions.
Work Schedule Monday to Friday 9:00 AM–5:30 PM EST, with 2–4 late‑evening shifts per month (11:30 AM–8:00 PM EST).
Base Pay Range $76,944.00/yr – $115,416.00/yr.
Responsibilities & Impact
Ensures member access to services appropriate to their health needs.
Conducts assessments to identify individual needs and develop a care management plan.
Implements the plan by facilitating authorizations/referrals within benefits or through extra‑contractual arrangements.
Coordinates internal and external resources to meet identified needs.
Monitors and evaluates effectiveness of the care plan, modifying as necessary; interfaces with Medical Directors and Physician Advisors on treatment plans.
Negotiates reimbursement rates as applicable.
Assists in problem solving with providers, claims, or service issues.
Assists with development of utilization/care management policies and procedures.
Minimum Requirements
BA/BS in a health‑related field and a minimum of 5 years of clinical experience; or equivalent education/experience.
Current unrestricted RN license in the applicable state(s).
Multi‑state licensure if services are provided in multiple states.
Preferred Experience, Skills, and Capabilities
Certification and experience as a Case Manager is preferred.
BS in a health or human services related field preferred.
Experience in telephonic case management, especially for complex and chronic care needs, is strongly preferred.
Preferred proficiency with telephonic systems and health information technology.
Benefits In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution, all subject to eligibility requirements.
Equal Employment Opportunity 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.
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