RN Case Manager – Telephonic / Field - South Central and South West Kansas

Anticipated End Date:

2026-05-29

Position Title:

RN Case Manager – Telephonic / Field - South Central and South West Kansas

Job Description:

RN Case Manager – Telephonic / Field – South Central and South West Kansas (JR190968)

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.

***Must reside in the state of Kansas. Will support Regions 5 & 6. ***

Travel: 10- 15% travel in South Central to South West Kansas to visit members in person. Mileage reimbursed.

Counties: Will support the counties of Finney, Hodgeman, Hamilton, Kearny, Stanton, Morton, Stevens, Grant, Haskell, Seward, Gray, Meade, Ford, Clark, Edwards, Kiowa, Kingman, Barber, Pratt, Stafford.

Work Hours: 8am – 5pm, Monday through Friday.

The Nurse Case Manager for Kansas Medicaid is 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 assessments and coordination of care telephonically and occasionally on-site such as at hospitals, community centers, homes, etc for care coordination and discharge planning. Primary duties may include, but are not limited to:

• Ensures member access to services appropriate to their health needs.

• Conducts assessments virtually and in person 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.

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 in the state of Kansas is required.

Preferred Skills, Capabilities and Experiences:

• Computer proficiency strongly preferred.

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 expectatio