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-timeLatham • Kentucky • 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 members with complex and chronic care needs, including the development and evaluation of care plans, coordination of services, and effective communication with medical professionals. Holds a current RN license and possesses strong clinical experience to ensure quality patient care.

Highest-signal resume keywords

Care ManagementRN LicenseClinical ExperienceCase Management CertificationCare Plan Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Plan ImplementationAssessment of MembersMonitoring Care Plan EffectivenessNegotiation of Reimbursement RatesFacilitation of AuthorizationsCoordination of Internal and External ResourcesDischarge PlanningTelephonic Care ManagementReferral CoordinationProvider Issue Resolution

Soft Skills

CommunicationInterpersonal SkillsProblem-SolvingNegotiation SkillsOrganizational Skills

Certifications & Qualifications

Case Manager Certification

Industry Keywords

Health-Related FieldMulti-State LicensureCOVID-19 VaccinationInfluenza VaccinationClinical Experience

About the role

Key responsibilities & impact

Perform care management within scope of licensure for members with complex and chronic care needs
Assess members and develop, implement, coordinate, monitor, and evaluate care plans
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 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 issues
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 an equivalent combination of education and experience
Current, unrestricted RN license in applicable state(s)
Multi-state licensure if providing services in multiple states
Certification as a Case Manager preferred
BS in a health or human services-related field preferred
Candidates must reside within a reasonable commuting distance of a posting location unless an accommodation is granted
Ability to work M–F 8:00 a.m.–4:30 p.m., with 2–3 late evenings per month from 11:30 a.m.–8:00 p.m.
Vaccination against COVID-19 and Influenza may be required for certain patient/member-facing roles

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase plan
401(k) contribution and match
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical, dental, and vision benefits
Short- and long-term disability benefits
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