West Des Moines, Iowa, United States · Hybrid
Anticipated End Date: 2026-07-03 Position Title: Nurse Practitioner, Bilingual, 100% Virtual, CareBridge Job Description: Nurse Practitioner, Bilingual, 100% Virtual, CareBridge Sign-On Bonus: $5,000 * Seeking Nurse Prac…
Skills: Bilingual Spanish, Complex Care Management, Electronic Medical Records, Telehealth, Clinical Care Planning
Rocky Hill, Connecticut, United States · Hybrid
Anticipated End Date: 2026-06-30 Position Title: Senior Business Intelligence and Reporting Engineer Job Description: Senior Business Intelligence and Reporting Engineer The Senior Business Intelligence and Reporting Eng…
Skills: Data Mining, Data Extraction, Report Development, Query Writing, Data Warehouse Design
Nashville, Tennessee, United States · Remote OK
Anticipated End Date: 2026-07-10 Position Title: Transitions of Care RN 100% Virtual- Carebridge Job Description: Transitions of Care RN 100% Virtual, CareBridge CareBridge Health is a proud member of the Elevance Health…
Skills: Patient Education, Disease Management, Health Coaching, Clinical Assessments, Motivational Interviewing
Atlanta, Georgia, United States · Hybrid
$101k–$174k/yr
Anticipated End Date: 2026-07-13 Position Title: Business Consultant Sr. - Federal and State Mandates Job Description: Business Consultant Sr. – Federal and State Mandate Location: Norfolk, VA candidates are preferred. H…
Skills: Business Analysis, Project Management, Regulatory Compliance, Mainframe Systems, Requirement Gathering
Nashville, Tennessee, United States · Hybrid
Anticipated End Date: 2026-07-22 Position Title: Director of CHOICES, GBD Special Programs Services Job Description: Director of CHOICES, GBD Special Programs Services Location: Nashville, TN Hybrid 2: This role requires…
Skills: Program Operations, Clinical Service Delivery, Managed Care, Utilization Management, Budget Management
Costa Mesa, California, United States · Hybrid
$118k–$202k/yr
Anticipated End Date: 2026-07-11 Position Title: Product Innovation & Growth Strategy Director Job Description: Product Innovation & Growth Strategy Director Location: This role requires associates to be in-office 3 days…
Skills: Market Sizing, Competitive Landscaping, Financial Modeling, ROI Modeling, Scenario Analysis
Wallingford, Connecticut, United States · Hybrid
$16/hr–$28/hr
Anticipated End Date: 2026-06-25 Position Title: Customer Care Representative I Job Description: Customer Care Representative I Location: This role enables associates to work virtually full-time, except for required in-p…
Skills: Customer Service, Call Center Operations, Bilingual Communication, Problem Solving, Interpersonal Communication
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-07-06 Position Title: Sr Director, AI Enablement Product & Platforms Job Description: Sr Director, AI Enablement Product & Platforms Location: This role requires associates to be in-office 3 da…
Skills: AI Integration, Product Strategy, AI Governance, Clinical Product Management, Strategic Consulting
Grand Prairie, Texas, United States · Hybrid
Anticipated End Date: 2026-07-20 Position Title: Director Medicaid Plan Marketing Job Description: Director Medicaid Plan Marketing Location: 2505 N HWY 360, Grand Prairie TX. Relocation assistance offered. This role req…
Skills: Marketing Strategy, Medicaid Growth, Community Relations, Member Retention, Partnership Development
Aibonito, Puerto Rico, United States · On-site
Anticipated End Date: 2026-07-03 Position Title: Medical Technologist- CDT MMM Aibonito Job Description: Medical Technologist Location: Aibonito, Puerto Rico. This role requires associates to work from the posted locatio…
Skills: Chemistry, Hematology, Urinalysis, Serology, Bacteriology
Costa Mesa, California, United States · Hybrid
$286k–$514k/yr
Anticipated End Date: 2026-07-17 Position Title: Account Mgmt Medical Director RVP Job Description: Account Management Medical Director RVP Location: May be located in any Elevance Health Pulse Point office locations pre…
Skills: Clinical Thought Leadership, Strategic Messaging, Account Management, Sales Growth, Healthcare Quality Improvement
Beaumont, Texas, United States · Hybrid
Anticipated End Date: 2026-07-24 Position Title: LTSS Service Coordinator - RN Clinician (Tyler County) Job Description: LTSS Service Coordinator - RN Clinician The candidate should reside in Tyler County in Texas and mu…
Skills: Case Management, Clinical Assessment, Care Planning, Patient Coordination, Chronic Illness Management
Chicago, Illinois, United States · Hybrid
$104k–$169k/yr
Anticipated End Date: 2026-07-01 Position Title: M&A Analyst Senior Job Description: M&A Analyst Senior Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity,…
Skills: Financial Modeling, Valuation Analysis, Discounted Cash Flow Analysis, Accretion Dilution Analysis, ROIC Analysis
Nashville, Tennessee, United States · Hybrid
Anticipated End Date: 2026-07-02 Position Title: Psychologist Reviewer Job Description: Psychologist Reviewer, Behavior Support Director Location: Nashville, TN Hybrid 1: This role requires associates to be in-office 1 -…
Skills: Behavior Support Services, Clinical Psychology, Utilization Management, Psychological Testing, Neuropsychological Testing
Lake Mary, Florida, United States · Hybrid
Anticipated End Date: 2026-07-02 Position Title: Pharmacy Technician I Job Description: Pharmacy Technician I Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and conne…
Skills: Prescription Data Entry, Prior Authorization Processing, Adjudication Troubleshooting, Patient Education, Regulatory Compliance
Mayagüez, Puerto Rico, United States · Hybrid
Anticipated End Date: 2026-07-15 Position Title: Nurse Care Manager I (NCLEX) Job Description: Nurse Care Manager I Location: This role enables associates to work virtually full-time, except for required in-person traini…
Skills: Care Management, Clinical Assessment, Discharge Planning, Medical Necessity Review, Bilingual English and Spanish
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-06-25 Position Title: Registered Dietitian Job Description: Registered Dietitian Location: This role enables associates to work virtually full-time, with the exception of required in-person tra…
Skills: Nutrition Assessment, Medical Nutrition Therapy, Therapeutic Diet Planning, Patient Education, Nutritional Coaching
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-08-28 Position Title: Patient Enrollment Specialist Job Description: The Patient Enrollment Specialist I is responsible for new and existing patients. This role involves outreach to patients, e…
Skills: Patient Outreach, Patient Enrollment, Bilingual Spanish, Customer Service, Call Center Operations
Bengaluru, Karnataka, India · On-site
Position Title: Project Management - Project Manager - GR - 40216-74130-1 - JR195825 Job Family: BSP > Program/Project Shift: Job Description: Job Title Project Manager Requirement Type Full-Time Employee Job Location Ba…
Skills: Project Planning, Project Execution, RAID Management, Root Cause Analysis, Project Charter Development
Costa Mesa, California, United States · Hybrid
$84k–$126k/yr
Anticipated End Date: 2026-06-25 Position Title: Behavioral Health Appeals Coordinator Sr Job Description: Behavioral Health Appeals Coordinator Senior Location: This role enables associates to work virtually full-time, …
Skills: Grievance Processing, Appeals Management, Medical Record Review, Medical Necessity Analysis, Regulatory Compliance
West Des Moines, Iowa, United States • Hybrid
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
Collaborate with physicians and families to develop and implement complex clinical care plans for adult patients with chronic conditions. Provide urgent healthcare via telephone and video modalities while coordinating resources and maintaining medical documentation.
Requires an MS in Nursing, national NP certification, and an active RN Compact license with NP licensure in Texas, Iowa, or Kansas. Must have 2+ years of experience in complex care management and be bilingual.
Location: Virtual: This role enables associates to work virtually full-time, except for 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.
Work Shift: Monday-Friday, 8:00am-5:00pm CST and rotating on-call; Training schedule will vary from work shift.
CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services.
The Advance Practice Provider, Nurse Practitioner Bilingual is responsible for collaborating with company physicians, the patient’s other physicians and providers, and their family members to develop complex plans of care in accordance with the patient’s health status and overall goals and values. Provides clinical and non-clinical support to patients.
Provides urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners.
Develops and implements clinical plans of care for adult patients facing chronic and complex conditions (e.g., co-morbid medical and mental health diagnoses, limited personal resources, chronic medical conditions.).
Gathers history and physical exam and diagnostics as needed, and then develops and implements treatment plans given the patient’s goals of care and current conditions.
Identifies and closes gaps in care.
Meets the patient’s and family’s physical and psychosocial needs with support and input from the company’s inter-disciplinary team.
Educates patients and families about medication usage, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention.
Maintains contact with other clinical team members and other medical providers to coordinate optimal care and resources for the patient and his or her family in a timely basis and consistent with state regulations and company health standards and policy.
Maintains patient medical records and medical documentation consistent with state regulations and company standards and policy.
Participates in continuing education as required by state and certifying body.
Prescribes medication as permitted by state prescribing authority.
Requires an MS in Nursing.
Requires an active national NP certification.
Requires valid, current, active and unrestricted Family or Adult Nurse Practitioner (NP) license in the states of Texas, Iowa, or Kansas.
Requires valid, current, active, RN Compact license.
Requires 2+ years of experience in managing complex care cases.
Experience working with Electronic Medical Records (EMR) required.
Bilingual or Multi-language skills required.
Bilingual Spanish preferred.
Possession of DEA registration or eligibility preferred.
Active Medicaid number preferred.
Experience in managing complex care cases for developmental disabilities and chronically ill patients strongly preferred.
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.
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.
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.
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 range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
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 range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
