Nurse Case Manager I

Elevance Health

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

Posted 9/15/2026full-timeNew York • United StatesMid-LevelSenior💰 $70,560 - $105,840 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management for complex and chronic care needs, including assessment, development, and coordination of care plans. Holds a current RN license and possesses strong case management skills, with a focus on effective communication and collaboration with healthcare providers.

Highest-signal resume keywords

RN LicenseCase Management CertificationClinical ExperienceHome Health ExperienceDischarge Planning

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementAssessmentCare Plan DevelopmentCoordination of ServicesMonitoring and EvaluationAuthorization FacilitationReferral CoordinationUtilization ManagementPatient Needs AssessmentChronic Care Management

Soft Skills

CommunicationCollaborationProblem-SolvingLeadershipInterpersonal Skills

Certifications & Qualifications

Case Manager Certification

Industry Keywords

Health-Related FieldMulti-State LicensurePatient CareHome HealthHospital Discharge Planning

About the role

Key responsibilities & impact

Perform care management within scope of licensure for members with complex and chronic care needs
Assess, develop, implement, coordinate, monitor, and evaluate care plans across the care continuum
Perform duties telephonically or on-site, including at hospitals for discharge planning
Ensure member access to services appropriate to health needs
Conduct assessments and identify individual needs and care management objectives
Facilitate authorizations and referrals within the benefits structure 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
Assist with provider, claims, or service issues
Function as preceptor for new care management staff
Work on special projects assigned by the manager
Perform other duties as assigned

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 home state required
Multi-state licensure required if providing services in multiple states
Certification as a Case Manager is preferred
Previous case management experience is preferred
Home health experience, utilization management and/or hospital discharge planning experience is a plus
Must reside within a reasonable commuting distance from a posting office location unless an accommodation is granted as required by law
Position is not eligible for employment-based sponsorship
Availability Monday-Friday, 9:00am-5:30pm
Availability for 2-4 late evening shifts per month, 11:30am-8:00pm EST/CST
Candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided

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
COVID-19 and Influenza vaccination coverage/requirement for certain roles