Nurse Case Manager I, 100% Virtual

Elevance Health

Nurse Case Manager enabling individuals to maximize health through care management for chronic needs. Conducting assessments and implementing personalized care plans.

Posted 6/17/2026full-timeNashville • Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

care managementassessmentscare plansmonitoringevaluatingproblem solving

Soft Skills

coordinationcommunication

Certifications & Qualifications

RN licenseCase Manager certification

Industry Keywords

chronic carecomplex careauthorizationsreferralsmulti-state licensure

About the role

Key responsibilities & impact

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
Conducting assessments to identify individual needs and specific care management plans
Facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements
Coordinating internal and external resources to meet identified needs
Monitoring and evaluating effectiveness of the care management plan and modifying as necessary
Interfacing with Medical Directors and Physician Advisors on treatment plans
Assisting in problem solving with providers, claims or service issues

Requirements

What you’ll need

BA/BS in a health related field
Minimum of 3 years of clinical experience
Current, unrestricted RN license in applicable state(s) required
Multi-state licensure is required if providing services in multiple states
Certification as a Case Manager is preferred

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical, dental, vision benefits
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources