Nurse Care Manager II
Elevance Health, Burbank, CA, United States
Job Overview
The
Nurse Care Manager II
is responsible for collaborating with health plan beneficiaries and/or providers to drive personalized health management and improve health outcomes for consumers.
Location
Virtual. This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions (when indicated), providing maximum flexibility and autonomy.
Candidates must reside in a compact license state and be within a reasonable commuting distance from the posting location(s) unless accommodation is granted as required by law.
Schedule
9:00-6:00 p.m. PST
How you will make an impact
Provide quality case management to health plan beneficiaries to assess, plan and support improvement in member's functioning and health outcomes.
Assist members in identifying appropriate medical needs, ensuring access to resources and services, addressing social determinants of health, and facilitating safe care transitions.
Coordinate with internal and external partners to collaborate on members’ care.
May be required to obtain licenses in multiple states to better support members across the country.
Conduct clinical assessment to develop goals that address individual needs in order to develop a care plan; implement and coordinate a care plan.
Monitor and evaluate effectiveness of the care management plan and modify as necessary. Assist with development of case management policies and procedures.
Participate in or lead intradepartmental teams, projects, and initiatives.
Minimum Requirements
HS diploma or equivalent and a minimum of 3 years of acute care clinical experience, condition‑specific clinical experience, home health/discharge planning experience and a minimum of 1 year in a Nurse Care Mgr I role or equivalent experience; or any combination of education and experience that would provide an equivalent background.
Current, unrestricted RN license in applicable state(s) required. Multi‑state licensure is required if this individual is providing services in multiple states.
Preferred Skills, Capabilities, and Experiences
AS or BS in nursing preferred.
Certification as a Case Manager is preferred.
Prior managed care experience preferred.
Knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products strongly preferred.
Bilingual Spanish preferred.
NICU and high‑risk OB experience preferred.
Compensation and Benefits
Salary range for this position is $41.84 – $52.30 per hour. In addition to salary, the company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (subject to eligibility requirements). The salary offered is based on non‑discriminatory factors set by the company and is fully compliant with pay equity laws.
Equal Employment Opportunity Statement
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
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The
Nurse Care Manager II
is responsible for collaborating with health plan beneficiaries and/or providers to drive personalized health management and improve health outcomes for consumers.
Location
Virtual. This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions (when indicated), providing maximum flexibility and autonomy.
Candidates must reside in a compact license state and be within a reasonable commuting distance from the posting location(s) unless accommodation is granted as required by law.
Schedule
9:00-6:00 p.m. PST
How you will make an impact
Provide quality case management to health plan beneficiaries to assess, plan and support improvement in member's functioning and health outcomes.
Assist members in identifying appropriate medical needs, ensuring access to resources and services, addressing social determinants of health, and facilitating safe care transitions.
Coordinate with internal and external partners to collaborate on members’ care.
May be required to obtain licenses in multiple states to better support members across the country.
Conduct clinical assessment to develop goals that address individual needs in order to develop a care plan; implement and coordinate a care plan.
Monitor and evaluate effectiveness of the care management plan and modify as necessary. Assist with development of case management policies and procedures.
Participate in or lead intradepartmental teams, projects, and initiatives.
Minimum Requirements
HS diploma or equivalent and a minimum of 3 years of acute care clinical experience, condition‑specific clinical experience, home health/discharge planning experience and a minimum of 1 year in a Nurse Care Mgr I role or equivalent experience; or any combination of education and experience that would provide an equivalent background.
Current, unrestricted RN license in applicable state(s) required. Multi‑state licensure is required if this individual is providing services in multiple states.
Preferred Skills, Capabilities, and Experiences
AS or BS in nursing preferred.
Certification as a Case Manager is preferred.
Prior managed care experience preferred.
Knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products strongly preferred.
Bilingual Spanish preferred.
NICU and high‑risk OB experience preferred.
Compensation and Benefits
Salary range for this position is $41.84 – $52.30 per hour. In addition to salary, the company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (subject to eligibility requirements). The salary offered is based on non‑discriminatory factors set by the company and is fully compliant with pay equity laws.
Equal Employment Opportunity Statement
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
#J-18808-Ljbffr