Nurse Care Manager I

Nurse Care Manager I

The Nurse Care Manager I is responsible for collaborating with health plan beneficiaries and/or providers to drive personalized health management and improve health outcomes for consumers.

Location: Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Schedule: 9:00-6:00pm PST

*Candidates should reside in compact license states*

How you will make an impact:

• Provide quality case management to health plan beneficiaries to assess, plan, and support improvement in member's functioning and health outcomes
• Conducts clinical assessment to develop goals that address individual needs in order to develop a care plan; implements and coordinates a care plan.
• Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Assists with development of case management policies and procedures.
• Assists members in identifying appropriate medical needs, ensuring access to resources and services, address social determinants of health, and facilitate safe care transitions
• Coordinate with internal and external partners to collaborate on members' care
• May be required to obtain licenses in multiple states to better support members across the country

Minimum Requirements:

• Requires a HS diploma or equivalent and a minimum of 3 years of acute care clinical experience, condition specific clinical experience; or any combination of education and experience, which would provide an equivalent background.
• Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states.

Preferred Skills, Capabilities, and Experiences:

• AS or BS in nursing preferred.
• Certification as a Case Manager is preferred.
• Home health/discharge planning experience preferred.
• Bilingual Spanish preferred.
• NICU and high-risk OB experience preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $37.15 - $46.44

Locations: California

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Job Level: Non-Management Non-Exempt

Workshift: Job Family: MED > Licensed Nurse