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Elevance LLC2 days ago

Nurse Case Manager I

On-site · Houston, Texas, United States or Huntsville, Texas, United States

Type
Full Time
Level
Mid Level
Education
Bachelors Degree
Company size
Enterprise

Job Summary

Nurse Case Manager I dedicated to coordinating comprehensive care for members with complex/chronic needs. Responsibilities include telephonic and on-site assessments, developing and implementing individualized care plans, coordinating referrals within benefits or state contracts, and monitoring outcomes to reduce hospital/ER readmissions. Role requires field-based activity (2x–3x per week travel to client sites or clinics) with occasional office meetings, and adherence to Elevance Health’s hybrid workforce expectations. Must hold a BA/BS in a health-related field and a current, unrestricted RN license in Texas (multi-state licensure if practicing across states); certification as a Case Manager is preferred. The role supports collaboration with Medical Directors, Physician Advisors, and providers to optimize care across the continuum, and participates in problem-solving related to providers, claims, or service issues. Elevance Health maintains an emphasis on whole-health care delivery and a compliance-oriented, inclusive workplace.”,

Required Qualifications

  • BA/BS in health-related field
  • RN license in Texas
  • multi-state licensure if applicable
  • preferred: Certification as Case Manager

Desired Qualifications

  • Certification as a Case Manager is preferred
  • Experience with Medicaid
  • Experience with Home Health completing field visits
  • Proficiency with Microsoft Teams, Outlook, Word, Excel
  • RN license in Texas
  • Multi-state licensure if practicing in multiple states
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Elevance LLC

Nurse Case Manager I

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