Nurse Case Manager I

Elevance Health

. Perform telephonic care management for members with complex and chronic care needs .

Posted 9/21/2026full-timeUnited StatesMid-LevelSenior💰 $67,200 - $115,920 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in telephonic care management, developing and implementing individualized care plans for members with complex and chronic needs. Proficient in coordinating resources, interfacing with medical professionals, and ensuring access to appropriate health services across multiple states.

Highest-signal resume keywords

Telephonic Care ManagementIndividualized Care Management PlansRN LicenseMulti-State LicensureCase Management Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical ExperienceCare Plan DevelopmentAuthorization FacilitationReimbursement NegotiationCare Plan Monitoring

Soft Skills

Interpersonal CommunicationProblem SolvingCoordination

Certifications & Qualifications

Case Manager Certification

Industry Keywords

Chronic Care ManagementHealth Services AccessProvider IssuesClaims Management

About the role

Key responsibilities & impact

Perform telephonic care management for members with complex and chronic care needs
Assess members and develop individualized care management plans
Implement care plans by facilitating authorizations and referrals
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 treatment plans
Negotiate reimbursement rates as applicable
Assist with provider, claims, or service issues
Ensure member access to appropriate health services
Service members across different states

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, which would provide 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 is preferred
Must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
Required to become vaccinated against COVID-19 and Influenza for certain patient/member-facing roles, unless an acceptable explanation is provided
Monday–Friday availability, 9:00am–5:30pm, with 1–2 late evenings from 11:30am–8:00pm depending on time zone

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) with match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Virtual work flexibility
Required in-person training sessions
Professional and personal growth opportunities