Telephonic Nurse Case Manager II
Elevance Health
Posted: 10/19/2026
Asset Reliability Manager
Perrigo Company plc
Posted: 10/19/2026EHS Manager
Perrigo Company plc
Posted: 10/19/2026
Benefits Manager
Armada
Posted: 10/19/2026
Manager II, Strategic Technical Accounts
Ricoh UK
Posted: 10/19/2026
National Accounts Manager
Core & Main
Posted: 10/19/2026
RN Ambulatory Care Manager
IMH
Posted: 10/19/2026
Area Planning Manager
The Church of Jesus Christ of Latter-day Saints
Posted: 10/19/2026
Internal Audit Manager
American Iron and Steel Institute
Posted: 10/19/2026
Senior Manager, Visa Enabler Network
Visa
Posted: 10/19/2026
Area Leader – Manager Trainee
7-Eleven
Posted: 10/19/2026Restaurant Leader – Manager Trainee
7-Eleven
Posted: 10/19/2026
Care Manager II – Non-Waiver
Alliance Health
Posted: 10/19/2026Care Manager I - TCL
Alliance Health
Posted: 10/19/2026
Senior Manager, Leave of Absence
Boeing
Posted: 10/19/2026Workers Compensation Manager
Boeing
Posted: 10/19/2026
District Business Manager
Dexcom
Posted: 10/19/2026
Territory Services Manager
Red Hat
Posted: 10/19/2026
Agency Enablement Manager
Levanta
Posted: 10/19/2026
Case Manager – Rare Disease Patient Services
Kyowa Kirin, Inc.- U.S.
Posted: 10/19/2026
Senior Manager, Technical Revenue
Sustainable Talent
Posted: 10/19/2026Telephonic Nurse Case Manager II
Elevance HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in telephonic care management, including the development and implementation of individualized care plans for members with complex health needs. Holds a current RN license and certification as a Case Manager, with extensive experience in clinical settings and case management.
Highest-signal resume keywords
RN LicenseCase Management ExperienceCertification As A Case ManagerClinical ExperienceUtilization Management Policies
About the role
Key responsibilities & impact- Provide telephonic 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
- Assist with development of utilization and care management policies and procedures
- Ensure member access to services appropriate to their health needs
- Perform duties telephonically
Requirements
What you’ll need- 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 required
- Multi-state licensure required when providing services in multiple states
- Case Management experience
- Certification as a Case Manager
- Minimum 2 years’ experience in acute care setting
- Experience with Microsoft Office and/or ability to learn new computer programs/systems/software quickly
- Ability to manage, review and respond to emails/instant messages in a timely fashion
- Ability to work Monday–Friday 9:00am–5:30pm with 2–4 evenings per month from 11:30am–8:00pm
- Candidates must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
- Vaccination against COVID-19 and Influenza for certain patient/member-facing roles
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care Management PlansTelephonic Care ManagementReimbursement NegotiationAcute Care ExperienceProblem Solving
Soft Skills
Effective CommunicationTimely Email Management
Tools & Technologies
Microsoft OfficeComputer Programs
Certifications & Qualifications
Case Manager Certification
Industry Keywords
Chronic Care ManagementHealth-Related FieldMulti-State LicensureCOVID-19 VaccinationInfluenza Vaccination