Licensed Case Manager Los Angeles, CA We are seeking a full-time Licensed case manager based in California, to work remotely while providing in-person support for patients as needed. This role focuses Advocate for clients with advice and information about treatment options and clinical status, evaluating medical necessity and appropriating resources. We specialize in medically complex patients and are looking for compassionate professionals to provide clinical case management. Compensation & Benefits - Salary: $60,000 - $100,000 annually - Paid Time Off: 3 weeks (2 weeks + 6-7 federal holidays) - Benefits: Medical, Dental, and Vision - 401K Plan Responsibilities - Manage case assignments, develop service plans, track progress, and execute case closures - Advocate for clients with advice and information about treatment options and clinical status, evaluating medical necessity and appropriating resources - Manage the cost of care wisely, and provide timely and accurate information to payors - Track and record case information, complete forms, and produce reports - Facilitate care and treatment via scheduling, information sharing, and case coordination - Assess and act accordingly in response to treatment barriers and psychosocial issues Required skills and qualifications - Bachelor’s degree in nursing or healthcare-related discipline - Three or more years of experience in case management or nursing - Experience with psychological aspects of patient care - Excellent interpersonal, verbal, and written communication skills - Superb critical-thinking, organizational, and analytical skills - Ability to work with all age groups and populations Preferred skills and qualifications - Certified case manager (CCM) and/or accredited case manager (ACM) certification - Proficiency in more than one language #MASC104​

Anticipated End Date: 2026-03-23 Position Title: Nurse Case Mgr I (US) Job Description: The Elevance Health Companies, Inc. Nurse Case Manager I Location: 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. The position will be based on Latham- New York, Seven Hills - Ohio, Norfolk- Virginia and Colombus- Georgia. 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. Schedule: This position will work an 8-hour from shift 8:00 am - 8:00 pm (EST) Monday to Friday. Additional hours may be necessary based on company needs. The Nurse Case Manager I 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 duties telephonically or on-site such as at hospitals for discharge planning. How you will make an impact. Primary duties may include, but are not limited to: - 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. 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 applicable state(s) 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. For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager and a BS in a health or human services related field preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $70k to $105k. Locations: New York In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. *The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. 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 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.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Dreem Health is hiring a Clinical Capacity & Workforce Planning Lead to build and optimize the engine behind how our providers deliver care at scale. This role ensures our clinical supply can keep up with our demand — intelligently, predictively, and sustainably. - Own the structure behind provider calendars across all 50 states. - Approve leave requests while protecting minimum service levels. - Proactively open and adjust clinical agendas based on demand. - Ensure consistent coverage as we scale. - Engage patients proactively when providers are unavailable. - Reschedule thoughtfully to maintain patient satisfaction and provider productivity. - Analyze utilization trends and identify demand surges. - Partner closely with HR to trigger hiring at the right moment. - Collaborate with credentialing and licensing teams. - Build dashboards and forecast capacity. Qualifications - 3–7 years in operations, workforce planning, healthcare ops, or scheduling management. - Strong analytical and systems thinker. - Comfortable interacting directly with patients. - Experienced in high-growth or fast-paced environments. - Confident making decisions balancing human and business needs. - Excellent communicator (both internal teams and patients). - Exceptional organizational and stakeholder-management skills. Requirements - Experience in telehealth or multi-state operations. - Familiarity with provider licensing processes. - Experience building dashboards or operational reporting. Benefits - Meaningful work that directly improves peoples’ lives. - Be part of an international team across the US, France, Belgium. - Annual company offsite. - Comprehensive health benefits (medical, dental, vision). - FREE One Medical membership. - 401(k) with company match. - 20 days PTO + 10 paid holidays + 80 hours paid sick leave. - Internet stipend. - Compensation: $62k-$72k per year.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Job Purpose and Summary As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly those with social determinants of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other interdisciplinary care team participants to support the member in maintaining optimal health. This is achieved by evaluating the members’ needs through the completion of the annual Health Risk Assessment Survey, addressing SDoH needs, and closing gaps in preventative and health maintenance care. Key Responsibilities - Telephonic Engagement: Dedicate 50-75% of the day to engaging with members and coordinating their care. - Member Outreach: Utilize all available resources to connect with and engage “hard-to-reach” members. - Care Planning: Partner with members to develop individualized care plans that encompass goals and interventions to meet their identified needs. - Documentation: Maintain meticulous documentation of care management activities in the member’s electronic health record. - Collaboration: Work with the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition. - Resource Connection: Identify and connect members with health plan benefits and community resources. - Regulatory Compliance: Meet regulatory requirements within specified timelines. - Consults with the Care Manager RN within the Care Team for clinical knowledge, medication regimes, and supportive clinical decision making - Collaborates and leverages the Care Manager RN clinical expertise to ensure members’ needs are adequately addressed. - Additional Responsibilities: Support team objectives, enhance operational efficiency, and ensure delivery of high-quality care to members. This may include participating in special projects, contributing to process improvement initiatives, or assisting with mentoring new team members. Essential Competencies and Functions - Performance Metrics: Ability to meet performance and productivity metrics, including call volume, successful member engagement, and state/federal regulatory requirements. - Professional Conduct: Conduct oneself with integrity, professionalism, and self-direction. - Care Management Knowledge: Experience or willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. - Community Resources: Familiarity with community resources and services. - Healthcare Technology: Ability to navigate and utilize various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records. - Collaboration: Maintain strong collaborative and professional relationships with members and colleagues. - Communication Skills: Communicate effectively, both verbally and in writing. - Customer Service: Excellent customer service and engagement skills. Required Qualifications - 2+ years of experience in a health-related field - 2+ years of customer service experience - Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and ability to effectively utilize these tools within the Case Management Specialist (CMS) role - Access to a private, dedicated space to conduct work effectively to meet the requirements of the position Preferred Qualifications - Experience providing care management for Medicare and/or Medicaid members - Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health - Experience conducting health-related assessments and facilitating the care planning processes - Bilingual skills, especially English-Spanish Education - Associate’s Degree AND relevant experience in a health care-related field OR Practical Nurse Degree/Certificate with active licensure that meets state requirements (REQUIRED) - Bachelor’s Degree in health care or a related field (PREFERRED) Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $40.90 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/24/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.