Nurse Case Manager I

Elevance Health • Latham, NY

21h • $67,200 - $120,960 • Remote

About The Position

The Nurse Case Manager I performs care management within the scope of licensure for members with complex and chronic care needs. The role assesses, develops, implements, coordinates, monitors, and evaluates care plans to optimize members’ health care across the care continuum. Duties are performed telephonically, including discharge planning at hospitals.

The role is virtual full-time, except for required in-person training sessions. Alternate locations may be considered for candidates who live within commuting distance of an office; candidates outside a reasonable commuting distance may not be considered unless an accommodation is granted as required by law. Work hours are Monday through Friday, 8:00 a.m.–4:30 p.m. EST, with one 11:30 a.m.–8:00 p.m. EST shift every other week.

This is a non-management exempt position in the Licensed Nurse job family. The anticipated end date for the posting is November 14, 2026.

Requirements

• A BA/BS in a health-related field and at least 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.
• For URAC-accredited areas, a BA/BS and 3 years of clinical care experience, or an equivalent combination of education and experience, and a current, active RN license in applicable state(s).

Nice To Haves

• Certification as a Case Manager.
• A BS in a health- or human-services-related field.
• Compact RN license.

Responsibilities

• Ensure members have access to services appropriate to their health needs.
• Conduct assessments to identify individual needs and develop specific care management plans with objectives and goals.
• Implement care plans by facilitating 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 management plan effectiveness and modify plans as necessary.
• Interface with Medical Directors and Physician Advisors on care management treatment plans.
• Assist with problem-solving provider, claims, or service issues.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase.
• 401(k) contribution.
• Merit increases.
• Paid holidays.
• Paid Time Off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• Short- and long-term disability benefits.
• 401(k) matching.
• Stock purchase plan.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level