Nurse Case Manager II, RN

🕒 October 20

🏄 California, Colorado, +2 more states – Remote

🏄 California – Remote ⛰️ Colorado – Remote 🎰 Nevada – Remote ☕ Washington – Remote

💵 $79.5k - $130.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Elevance Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Elevance Health is transforming from a traditional health benefits organization into a lifetime trusted health partner, driven by a bold purpose to improve the health of humanity. With nearly 100,000 associates, they serve over 118 million people and utilize an integrated whole health approach supported by industry-leading capabilities and a digital health platform. Their mission includes redefining health, reimagining the health system, and strengthening communities.

📋 Description

• Conduct care management for members with complex and chronic care needs within scope of licensure • Screen, assess, and stratify member risk • Develop and implement individualized care management plans • Coordinate care and follow up with members • Provide transitional care and post-transition communication • Evaluate members and care management outcomes • Ensure member access to services appropriate to health needs • Facilitate authorizations and referrals within the benefits structure or through extra-contractual arrangements • Coordinate internal and external resources to meet identified needs • Monitor and modify care management plans as necessary • Interface with Medical Directors and other health professionals on treatment plans • Assist with provider, claims, or service issue resolution • Assist with development of utilization and care management policies and procedures • Provide outbound, 100% telephonic nursing services • Service members in multiple states

🎯 Requirements

• BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience providing an equivalent background • Current, unrestricted RN license in applicable state(s) is required • Multi-state RN licensure is required upon hire • Active California RN license is highly preferred • Minimum 2 years of direct Case Management experience • Certification as a Case Manager, CCM is preferred • Telephonic and/or virtual nursing experience • Managed Care experience • Minimum 2 years’ experience in acute care setting • Experience with Microsoft Office suite and/or ability to learn new computer programs/systems/software quickly • Ability to speak and type at the same time • Ability to work Monday–Friday, 9:00 am to 5:30 pm PST or MST, with two evening shifts weekly from 11:30 am to 8:00 pm PST or MST • Must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law • Candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided

🏖️ Benefits

• Comprehensive benefits package • Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs • Medical benefits • Dental benefits • Vision benefits • Short-term disability benefits • Long-term disability benefits • 401(k) with match • Stock purchase plan • Life insurance • Wellness programs • Financial education resources • Virtual full-time work arrangement, except for required in-person training sessions • Flexible work-life integration • Incentive and recognition programs • Equity stock purchase

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume