Telephonic Nurse Case Manager II

Telephonic Nurse Case Manager II provides telephonic care management for members with complex and chronic care needs. Responsibilities include assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum, facilitating authorizations/referrals within benefits structures, coordinating internal and external resources, and interfacing with Medical Directors and other health professionals to develop care management treatment plans. Requires BS in a health-related field, an unrestricted RN license, and multi-state licensure to serve members across states; role operates within Elevance Health’s hybrid/virtual workforce with some in-office requirements and specific scheduling (Mon–Fri 9:00 AM–5:30 PM with two evening shifts weekly). Experience in an acute care setting and telephonic/virtual nursing is preferred. Job level is mid-level with non-management status; location options include multiple U.S. office sites with in-person work a possibility; vaccination may be required for patient/member-facing roles.