Nurse Case Manager I

Elevance Health

Nurse Case Manager I managing care for members with complex and chronic needs at Elevance Health. Responsible for assessments, care planning, and coordination of services.

Posted 5/15/2026full-timeMetairie • Louisiana • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
Performs duties telephonically or on-site such as at hospitals for discharge planning.
Ensures member access to services appropriate to their health needs.
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
Coordinates internal and external resources to meet identified needs.
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
Negotiates rates of reimbursement, as applicable.
Assists in problem solving with providers, claims or service issues.

Requirements

What you’ll need

Requires BA/BS in a health related field and minimum of 3 years of clinical experience;
Current, unrestricted RN license in applicable state(s) required.
Certification as a Case Manager is preferred.
Experience with working with the homeless and substance use disorders.
Experience with Adult population with Chronic Conditions such as Diabetes, Sickle Cell, Congestive Heart Failure, Hepatitis, HIV, and Hypertension preferred.
Experience in hospital, case management, MCO experience preferred.
Combination of the following is a plus: Acute care, home health, chronic illnesses/diseases, discharge planning.
Behavioral health conditions experience preferred.

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs (unless covered by a collective bargaining agreement)
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

care managementassessmentscare plansdischarge planningauthorizationsreferralsmonitoringevaluatingnegotiating reimbursementproblem solving

Certifications

RN licenseCase Manager certification