Nurse Case Manager I

Elevance Health

. Perform care management within the scope of licensure for members with complex and chronic care needs .

Posted 10/6/2026full-timeUnited StatesMid-LevelSenior💰 $70,560 - $105,840 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management for members with complex and chronic needs, including the development and implementation of individualized care plans. Proficient in coordinating resources, negotiating reimbursement rates, and collaborating with medical professionals to ensure effective treatment outcomes.

Highest-signal resume keywords

RN LicenseCare ManagementClinical ExperienceCase Management CertificationCare Plan Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementIndividualized Care PlansAssessment SkillsReimbursement NegotiationProblem Solving

Soft Skills

CommunicationCollaborationInterpersonal Skills

Certifications & Qualifications

Case Manager Certification

Industry Keywords

Chronic CareComplex CareMulti-State LicensureCOVID-19 VaccinationDischarge Planning

About the role

Key responsibilities & impact

Perform care management within the scope of licensure for members with complex and chronic care needs
Assess members and develop individualized care management plans
Implement care plans by facilitating authorizations and referrals within benefits structures or through extra-contractual arrangements
Coordinate internal and external resources to meet identified needs
Monitor and evaluate care plan effectiveness and modify plans as necessary
Interface with Medical Directors and Physician Advisors on care management treatment plans
Negotiate reimbursement rates, as applicable
Assist with provider, claims, or service issue problem solving
Perform duties telephonically or on-site, including at hospitals for discharge planning

Requirements

What you’ll need

BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience providing an equivalent background
Current, unrestricted RN license in applicable state(s) required
Multi-state licensure required when providing services in multiple states
Certification as a Case Manager preferred
BS in a health or human services-related field preferred
Ability to work M-F 9am-5:30pm with 2-3 late evenings per month from 11:30am-8pm
Candidates must be within a reasonable commuting distance from a posting location unless an accommodation is granted
New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, subject to stated exceptions

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
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) matching
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
COVID-19 and Influenza vaccination coverage/requirement for certain roles