Nurse Case Manager I – Specialty Drug, Site of Care Review

Elevance Health

Nurse Case Manager I role at Elevance Health managing specialty drug requests and collaborating with health providers. Focused on quality member outcomes and efficient resource use.

Posted 5/5/2026full-timeAtlanta • Colorado, Maryland, Minnesota, Ohio • 🇺🇸 United StatesMid-LevelSenior💰 $67,200 - $110,880 per yearWebsite

About the role

Key responsibilities & impact

case management and collaboration with healthcare providers and members
promote quality member outcomes and effective use of resources
interpretation of moderately complex specialty drug prior authorization requests
assess the medical necessity of outpatient specialty drug administration
work with Pharmacists and Medical Directors

Requirements

What you’ll need

BA/BS in a health related field
minimum of 3 years of clinical experience
Current, active unrestricted RN license
Outpatient specialty drug infusion experience preferred
Site of care and/or specialty drug review experience preferred
Post-service reviews or Appeals reviews preferred
Experience working with specialty drugs strongly preferred

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase and 401k contribution
Paid Time Off
medical, dental, vision benefits
short and long term disability benefits
wellness programs
financial education resources

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

case managementinterpretation of prior authorization requestsassessment of medical necessityoutpatient specialty drug administrationspecialty drug infusionpost-service reviewsappeals reviews

Soft Skills

collaborationpromoting quality outcomeseffective resource use

Certifications

RN license