Nurse Case Manager I

Elevance Health

Nurse Case Manager I performing telephonic care management for members with complex health needs. Assessing, developing, and coordinating care plans to optimize patient healthcare outcomes.

Posted 7/13/2026full-timeAtlanta • Colorado, Montana, Nevada • 🇺🇸 United StatesMid-LevelSenior💰 $70,560 - $110,880 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care management, including conducting assessments, implementing care plans, and coordinating resources to meet health needs. Proficient in critical thinking and problem-solving within clinical settings, with a strong focus on member access and service effectiveness.

Highest-signal resume keywords

RN LicenseClinical ExperienceCare ManagementCritical ThinkingCase Management Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentCare Plan ImplementationUtilization ManagementResource CoordinationPolicy Development

Soft Skills

Problem SolvingCommunication

Tools & Technologies

Microsoft OfficeComputer Programs

Certifications & Qualifications

Case Manager Certification

Industry Keywords

Health NeedsMember AccessMedical DirectorsPhysician AdvisorsMultistate Licensure

About the role

Key responsibilities & impact

Ensures member access to services appropriate to their health needs
Conducts assessments to identify individual needs and specific care management plans
Implements care plans by facilitating authorizations/referrals within benefits structure
Coordinates internal and external resources to meet identified needs
Monitors and evaluates effectiveness of care management plans and modifies as necessary
Interfaces with Medical Directors and Physician Advisors on care management treatment plans
Assists in problem solving with providers, claims or service issues
Assists with the development of utilization/care management policies and procedures

Requirements

What you’ll need

Requires a BA/BS in a health-related field
3 years of clinical experience
Current, unrestricted RN license from the State of Georgia required
Multistate licensure is required if providing services in multiple states
Ability to talk and type at the same time
Certification as a Case Manager (preferred)
Demonstrates critical thinking skills when interacting with members
Experience with Microsoft Office and/or ability to learn new computer programs/systems/software quickly
Ability to manage, review and respond to emails/instant messages in a timely fashion

Benefits

Comp & perks

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