RN Nurse Case Manager, HMO

Elevance Health

RN Nurse Case Manager ll managing complex care for members with chronic health needs at Elevance Health. Responsibilities include assessments, developing care plans, and resource coordination.

Posted 5/21/2026full-timeWoodland Hills • California • 🇺🇸 United StatesMid-LevelSenior💰 $83,248 - $136,224 per yearWebsite

About the role

Key responsibilities & impact

responsible for performing care management within the scope of licensure for members with complex and chronic care needs
assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum
performs duties telephonically with medical groups, providers, community resources, and members 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

Requirements

What you’ll need

Requires BA/BS in a health-related field and minimum of 5 years of clinical experience
Current, unrestricted RN license in the state of California required
Case Manager experience within hospital or managed care setting is preferred
Clinical experience working with individuals with various chronic diseases, illnesses and medical needs strongly preferred
Knowledge/experience with discharge planning preferred
Certification as a Case Manager is preferred

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical, dental, vision benefits
short and long term disability benefits
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 managementassessmentcare plan developmentdischarge planningauthorization facilitationmonitoring and evaluationchronic disease managementclinical experiencecoordination of resourcescase management

Soft Skills

communicationorganizational skillsinterpersonal skillsproblem-solvingcollaborationadaptabilitycritical thinkingempathyleadershipnegotiation

Certifications

RN licenseCase Manager certification