Lead Nurse Case Manager

Elevance Health

Telephonic Nurse Case Manager Lead at Elevance Health. Responsible for assessing and managing complex care for members with chronic needs while providing flexibility in work arrangements.

Posted 6/23/2026full-timeKentucky, Ohio • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact

Telephonic Nurse Case Manager Lead responsible for care management within the scope of licensure for members with complex and chronic care needs.
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals.
Implements care plan by facilitating authorizations/referrals.
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.
Assists in problem solving with providers, claims or service issues.
Participates in audit activities and assists supervisor with management of day-to-day activities.

Requirements

What you’ll need

Requires a BA/BS in a health related field and 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Current, unrestricted RN license in applicable state(s) required.
Case manager certification required within 3 years of starting in this role.
Certification as a Case Manager is preferred.
BS in a health or human services related field preferred.
Managed care experience necessary.
Case management experience a plus.

Benefits

Comp & perks

Sign on Bonus: $3000
Flexible work arrangements
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
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 plan implementationproblem solvingaudit activitiesclinical experiencemanaged carecase management

Soft Skills

coordinationevaluationcommunication

Certifications

RN licenseCase Manager certification