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Job detail

Nurse Case Manager I

Elevance Health

Employer page
#Patient Assessment#Clinical Experience#Healthcare Services#Care Coordination#Medicaid#Home Health#RN License#Care Management#Case Manager Certification
#Care Continuum
#Nurse Case Manager
#Chronic Care
Full TimeHybrid2-5 yrsPosted 3 days agoCloses Jun 30

Location (5)

Angelina County, Texas

Locations

5 listed locations

Angelina County, TexasGrand Prairie, TexasHouston, TexasLubbock, TexasLufkin, Texas

Quick overview

The Nurse Case Manager I performs care management for members with complex and chronic needs by developing and monitoring personalized care plans. Responsibilities include conducting assessments, coordinating internal and external resources, and performing duties both telephonically and on-site to reduce hospital readmissions.

Requirements summary

Requires a BA/BS in a health-related field and at least 3 years of clinical experience, along with a current unrestricted RN license in Texas. Case Manager certification and experience with Medicaid and home health visits are preferred.

bachelor degreeCase ManagementCare PlanningInterpersonal CommunicationMicrosoft TeamsMicrosoft ExcelMicrosoft WordMicrosoft OutlookMedicaid KnowledgeClinical AssessmentCare ManagementPatient CoordinationHome Health Visits

Job description

Anticipated End Date: 2026-06-30

Position Title: Nurse Case Manager I

Job Description

Nurse Case Manager I Location: The ideal candidate would reside within the state of Texas.

Field

  • This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center—connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together. Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals.
  • While our roles may differ, our purpose is shared: to make a positive impact on whole health. The Nurse Case Manager I will be responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals, member's home, or clinics for assistance with decreasing hospital/ER readmission. The Nurse Case Manager will be in the field 2x-3x a week based on business needs.
  • How you will make an impact: 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 referrals as appropriate within benefits structure or through state 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. Assists in problem solving with providers, claims or service issues.

Benefits

  • Dental Insurance
  • Life Insurance
  • Paid Holidays
  • Paid Time Off
  • Vision Insurance
  • Medical Insurance
  • Short Term Disability
  • Long Term Disability
  • Stock Purchase Plan
  • Wellness Programs
  • 401(k) With Match
  • Merit Increases
  • Financial Education Resources
  • Incentive Bonus Programs

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Elevance Health

EH

Hiring organization

Elevance Health

Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full...

Explore employer profile
IndustryHospitals and Health Care
TypePublic Company
Size10,001+ employees
HQIndianapolis, Indiana
  • Minimum
  • Requirements: Requires BA/BS in a health-related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license within the state of Texas is required. Multi-state licensure is required if this individual is providing services in multiple states.
  • Preferred
  • Skills,
  • Capabilities and
  • Experiences: Certification as a Case Manager is preferred. Experience with Microsoft TEAMs, Outlook, Word, and Excel. Experience with Home Health completing field visits. Experience with Medicaid. Positive, strong interpersonal and communication skills.
  • Job
  • Level:
  • Non-Management
  • Exempt
  • Workshift:
  • Job
  • Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
  • Who We Are

    Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. 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. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date.

    Example

    If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13. Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. Join our Talent Community and stay connected with company news, information, and future job opportunities. Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. 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. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration Please visit the Contract Worker Community Page. Elevance Health is an Equal Opportunity Employer/Disability/Veterans.

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