Telephonic Nurse Case Manager II

Elevance Health

Telephonic Nurse Case Manager II at Elevance Health managing care for members with complex needs via virtual consultations. Responsible for assessing and developing care plans to optimize healthcare access and effectiveness.

Posted 4/24/2026full-timeDenver • California, Colorado, Florida, Nevada • 🇺🇸 United StatesMid-LevelSenior💰 $79,464 - $130,548 per yearWebsite

About the role

Key responsibilities & impact

Responsible for care management for members with complex and chronic care needs
Assess, develop, implement, coordinate, monitor, and evaluate care plans
Ensure member access to services appropriate to their health needs
Conduct assessments to identify individual needs
Implement care plan by facilitating authorizations/referrals
Coordinate internal and external resources to meet identified needs
Monitor and evaluate effectiveness of care management plan
Interface with Medical Directors and Physician Advisors on treatment plans
Assist in problem solving with providers and service issues
Help in developing utilization/care management policies and procedures

Requirements

What you’ll need

BA/BS in a health related field
Minimum 5 years of clinical experience
Current, unrestricted RN license in applicable state(s)
Multi-state licensure if providing services in multiple states
Case Management experience is preferred
Certification as a Case Manager is preferred
Minimum 2 years’ experience in acute care setting is preferred
Managed Care experience is preferred
Ability to talk and type at the same time is preferred
Critical thinking skills when interacting with members is preferred
Experience with Microsoft Office and ability to learn new software quickly is preferred
Ability to manage, review and respond to emails/instant messages in a timely fashion is preferred

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Paid Time Off
Medical benefits
Dental benefits
Vision benefits
Short and long term disability benefits
Wellness programs
Financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

care managementclinical experiencecase managementacute care experiencemanaged care experiencecritical thinking

Soft Skills

problem solvingcommunicationcoordinationmonitoringevaluation

Certifications

RN licenseCase Manager certification