Nurse Care Manager I

Elevance Health Indianapolis, IN, US

Apply Now

Anticipated End Date:

2026-03-21

Position Title:

Nurse Care Manager I

Job Description:

Shift: Monday – Friday; 2:30pm ET - 11:30pm EST

Location: Virtual; Alternate locations may be considered if candidates reside within a commuting distance from an office

Virtual: This role enables associates 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.

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 an accommodation is granted as required by law

The Nurse Care Manager I is responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs.

How you will make an impact:

Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions and extensions of stay, outpatient services, out of network services, and appropriateness of treatment setting and level of care.
Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance.
Collaborates with providers to assess consumer needs for early identification of and proactive planning for discharge.
Conducts clinical assessment to develop goals that address individual needs in order to develop and implement a care plan.
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

Minimum requirements:

Requires a HS diploma or equivalent and a minimum of 3 years of acute care clinical experience; or any combination of education and experience, which would provide an equivalent background.
Current, active valid 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:

Home health/discharge planning experience preferred.
AS or BS in nursing preferred.
Certification as a Case Manager is preferred.

For URAC accredited areas, the following applies: Current and active RN license required in applicable state(s) that allows for an independent assessment to be conducted within their scope of practice. Requires 3 years full-time equivalent of direct clinical care experience to the consumer, 5 years full-time equivalent of direct clinical care experience to the consumer preferred or any combination of education and experience, which would provide an equivalent background, Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager or a BS in a health or human services related field also preferred.

Job Level:

Non-Management Non-Exempt

Workshift:

1st Shift (United States of America)

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 may contact elevancehealthjobssupport@elevancehealth.com for assistance. 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.

Share this job

Related Jobs

ICU

Full-time

1 week ago

RN Critical Care Full Time Night Shift:

Riverview Health Noblesville, IN

Job Responsibilities : Creates, and implements, a written plan of care that addresses the specific needs and goals of each individual patient, making referrals to other professional services as required. Modifies the plan of care based on reassessment of the patient including observed patient response to treatment/care and evaluation of patient's progress toward goal completion and delegates tasks to team members, as appropriate within their scope of practice. Observes, documents, addresses, and implements planned interventions/care, communicating the plan to all members of the team through accurate and timely documentation in the electronic medical record and, when needed, through verbal reports. Documents accurate patient information in compliance with policies and regulatory requirements. Assist with medical procedures as prescribed by the treating physicians. Maintain working knowledge of equipment and procedures utilized in critical care setting. Administers medications, accurately and timely according to physician orders and organizational policy and procedure. Maintains knowledge of medication actions and side effects, recognizing allergic reactions and documenting patients’ response to drugs. Successfully transitions patients, communicating the most current plan of care, through walking rounds and providing accurate, timely report to incoming staff. Advises physicians, other disciplines, family/significant others of changes in patient's condition or abnormal findings. Communicates clearly and concisely. Provides clear, specific educational and discharge information to each patient and/or patient family member. May precept new employees and oversee other members of the care team. Attends department meetings. Education Requirements: Minimum: Associate of Science from an accredited school of nursing by date of hire to the position. Preferred: Bachelor of Science in Nursing Experience Requirements: Minimum: One (1) year critical care/progressive care experience Preferred: Two (2) years License / Certification Requirements: Registered Nurse license valid to practice in Indiana Basic Life Safety (American Heart Association) Advanced Cardiac Life Support within six (6) months of hire into the position (AHA)

ICU

Full-time

3 weeks ago

RN Critical Care Full Time Night Shift: 5p-5a

Riverview Health Noblesville, IN

Job Summary The Critical Care staff RN provides direct and indirect care to patients through assessment, plan of care creation and implementation and coordination with other care providers within the hospital system. This position provides guidance of support to personnel and guides nursing care in the critical care departments. Job Responsibilities : Creates, and implements, a written plan of care that addresses the specific needs and goals of each individual patient, making referrals to other professional services as required. Modifies the plan of care based on reassessment of the patient including observed patient response to treatment/care and evaluation of patient's progress toward goal completion and delegates tasks to team members, as appropriate within their scope of practice. Observes, documents, addresses, and implements planned interventions/care, communicating the plan to all members of the team through accurate and timely documentation in the electronic medical record and, when needed, through verbal reports. Documents accurate patient information in compliance with policies and regulatory requirements. Assist with medical procedures as prescribed by the treating physicians. Maintain working knowledge of equipment and procedures utilized in critical care setting. Administers medications, accurately and timely according to physician orders and organizational policy and procedure. Maintains knowledge of medication actions and side effects, recognizing allergic reactions and documenting patients’ response to drugs. Successfully transitions patients, communicating the most current plan of care, through walking rounds and providing accurate, timely report to incoming staff. Advises physicians, other disciplines, family/significant others of changes in patient's condition or abnormal findings. Communicates clearly and concisely. Provides clear, specific educational and discharge information to each patient and/or patient family member. May precept new employees and oversee other members of the care team. Attends department meetings. Education Requirements: Minimum: Associate of Science from an accredited school of nursing by date of hire to the position. Preferred: Bachelor of Science in Nursing Experience Requirements: Minimum: One (1) year critical care/progressive care experience Preferred: Two (2) years License / Certification Requirements: Registered Nurse license valid to practice in Indiana Basic Life Safety (American Heart Association) Advanced Cardiac Life Support within six (6) months of hire into the position (AHA)

Oncology

Full-time

3 weeks ago

RN Specialty Care Medical Oncology

Riverview Health Noblesville, IN

Job Summary The Medical Oncology Office Registered Nurse (RN) prepares and assists physicians or advance practice providers in the examination and treatment of patients in the medical office. The Registered Nurse performs patient assessment and triage, arranges diagnostic testing and hospital admissions, administers patient medication and performs diagnostic testing in the medical office setting. The Registered Nurse also works as part of the team in maintaining exam rooms and supplies and providing exceptional customer service. Job Responsibilities Prepare patients for physician examination. This includes gathering patient assessment information relating to the patient's learning and education ability, patient education and patient family education, measuring and recording vital signs, and accurately documenting the information in a timely manner in patient charts. Perform telephone triage, communicate and adjudicate physician/provider orders. Provide legible and signature authenticated documentation, as needed, of all actions taken, accurately and timely, to the patient's medical record. Perform phlebotomy, administer injections, immunizations and other special procedures demonstrating skills in the principles of infection prevention, reduction and controls appropriate for the medical setting. Provide follow-up care for patients that includes, but is not limited to: arranging diagnostic testing, specialist appointments, hospital admissions, etc. Perform Quality Assurance functions and procedures necessary to meet and maintain regulatory requirements. Work cohesively as a member of the care delivery team in maintaining waiting areas, examination rooms, back office area, equipment and supplies. Also attend scheduled department meetings and continuously monitor organizational communications to ensure currency of knowledge on information and procedures. Perform laboratory testing in compliance with written policies and procedures that meet the requirements of Testing Personnel under Clinical Laboratory Improvement Act '88 (CLIA) Other duties as assigned. Education Requirements Minimum: Associate of Science degree from an accredited school of nursing. Preferred: Bachelor of Science in Nursing Experience Requirements Minimum: Previous patient care experience Preferred: One (1) year previous medical office experience in the office specialty area License/Certification Requirements Minimum: Registered Nurse license, in good standing, in the state of Indiana by date of hire or transfer into the position Basic Life Safety (American Heart Association)

RN Level II Special Care Nursery/Labor and Delivery Nights

Riverview Health Noblesville, IN

Job Responsibilities Create and implement a written plan of care that addresses the specific needs and goals of each individual patient, making referrals to other professional services as required. Modifies the plan of care based on reassessment of the patient including observed patient response to treatment/care and evaluation of patient's progress toward goal completion and delegates tasks to team members, as appropriate within their scope of practice. Observe, document, address, and implement planned interventions/care, communicating the plan to all members of the team through accurate and timely documentation in the electronic medical record and, when needed, through verbal reports. Documents accurate patient information in compliance with policies and regulatory requirements. Provide patient care through the performance of selective procedures that include but are not limited to IV starts and restarts, blood administration and phlebotomy tasks, answering call lights and serving as testing personnel under CLIA1988 regulations as they relate to point of care testing. Administer medications, accurately and timely according to physician orders and organizational policy and procedure. Maintains knowledge of medication actions and side effects, recognizing allergic reactions and documenting patients’ response to drugs. Successfully transition patients, communicating the most current plan of care, through walking rounds and providing accurate, timely report to incoming staff. Advise physicians, other disciplines, family/significant others of changes in patient's condition or abnormal findings. Communicate clearly and concisely. Provide clear, specific educational and discharge information to each patient and/or patient family member. May precept new employees and oversee other members of the care team. Other duties as assigned. Education Requirements Minimum: Graduate from an accredited school of nursing by date of hire to the position Preferred: Bachelor of or Science in Nursing Experience Requirements Minimum: None Preferred: One (1) year as a Registered Nurse in a hospital setting License/Certification Requirements Minimum: RN license in the state of Indiana by date of hire to the position. Advanced Cardiac Life Support within six (6) months of hire (American Heart Association) Basic Life Safety (American Heart Association) NRP S.T.A.B.L.E. for Nursery staff. Basic Telemetry may be required for labor and delivery staff at management discretion.

Full-time

3 weeks ago

Registered Nurse Emergency - Day Shift

Riverview Health Noblesville, IN

Job Summary The Registered Nurse, Emergency Department is responsible for handling initial patient assessments, performing laboratory work, point of care testing and administrative tasks associated with the delivery of patient care. The Emergency Department Registered Nurse collaborates with physicians regarding discharge plans, creates and educates patients upon discharge from the Emergency Department and works effectively in transferring patients who are admitted to the hospital. Job Responsibilities Triages patients who present to the Emergency Department, prioritizing care based on the critical nature and severity of a patient’s condition. Assesses patient condition through visual evaluation, medication reconciliation, and vital sign measurements such as: blood pressure reading pulse rate, respiration, and temperature throughout the course of a patient’s stay in the Emergency Department. Administers medication and assists with medical procedures as prescribed by the treating physician. Monitors patients for changes in condition and communicates timely and effectively with those involved in the welfare, care or treatment of the patient in compliance with applicable policies and regulations. Partners with other members of the patient care treatment team in the provision of procedures, interventions, discharge or admission processes. Charts all patient medical history, contact information, condition, medications, and treatment as well as update the electronic medical record throughout the patient stay in the Emergency Department. Charting is accurate and consistent with applicable department and organization standards. Discharges patients from the Emergency Room post treatment. Completes discharge instructions, educates the patient and/or caregiver ensuring understanding of the instructions, answers questions, and confirms transportation from the Emergency Department. Other duties as assigned or required. Education Requirements Minimum: Graduate of an accredited Registered Nurse Program by date of hire. Experience Requirements Minimum: Two (2) years of Critical Care experience. Preferred: Two (2) years of Emergency Department experience. License/Certification Requirements Minimum: American Heart Association Certifications of: Basic Life Support (BLS) – upon date of hire Advanced Cardiac Life Support (ACLS) – within 90 days of hire or transfer to position Pediatric Advanced Life Support (PALS) – within 90 days of hire or transfer to position Registered Nurse – licensed to practice in the state of Indiana upon hire date Preferred: CEN, TNCC, ENPC, NRP