Nurse Case Manager

Anticipated End Date:

Position Title: Nurse Case Manager I

Ideal candidate must reside and be licensed in Louisiana (preferably Shreveport, Monroe, Alexandria, Lake Charles, or New Orleans). Willingness to travel to community settings up to 10% of the time or as needed.

Work Shift: Monday - Friday | 8 AM - 5 PM CT

Location: Virtual:
This role enables associate to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face‑to‑face onboarding and skill development.

• 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 an accommodation is granted as required by law.

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

• 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 authorizations/referrals as appropriate within benefits structure or through extra‑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. Negotiates rates of reimbursement, as applicable.
• Assists in problem solving with providers, claims or service issues.

• Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience is acceptable if it provides an equivalent background.
• Current, unrestricted RN license in Louisiana is required.

• Certification as a Case Manager is preferred.
• Experience working with homelessness and substance use disorders.
• Experience with adult population with chronic conditions such as diabetes, sickle cell, congestive heart failure, hepatitis, HIV, and hypertension preferred.
• Experience in hospital, case management, or MCO settings preferred.
• Background in acute care, home health, chronic illnesses/diseases, or discharge planning is a plus.
• Behavioral health conditions experience preferred.

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.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.

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, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.