Nurse Case Manager I
On-site · Houston, Texas, United States or Huntsville, Texas, United States
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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