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Elevance HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care coordination for members with chronic illnesses and disabilities, utilizing clinical guidelines and decision-making skills to assess and manage health needs. Bilingual in Spanish and English, with a strong understanding of disease processes and terminology.
Highest-signal resume keywords
Licensed Social Worker (LSW)Experience With Chronic IllnessesClinical Guidelines ApplicationBilingual In Spanish/EnglishTravel Flexibility
About the role
Key responsibilities & impact- Work under the direction and supervision of an RN or Licensed Social Worker
- Contribute to the LTSS care coordination process within the scope of licensure
- Assist the responsible RN or LSW with telephonic or face-to-face assessments
- Identify, evaluate, coordinate, and manage members’ physical health, behavioral health, social services, and long-term services and supports needs
- Assist in identifying members at high risk for complications
- Obtain clinical data as directed by the responsible RN/LSW
- Assist in identifying members who may benefit from an alternative level of care or waiver programs
- Provide collected information to the responsible RN or LSW for verification, interpretation, additional assessments, and care-plan development
- Participate in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities
- Coordinate with the RN or LSW, member, and healthcare team to support cost-effective and efficient utilization of health benefits
- Apply decision-making skills based on member needs, disease processes, terminology, and clinical guidelines without requiring nursing judgment
Requirements
What you’ll need- Bilingual in Spanish/English
- Must reside in the state of Florida
- Must be open to travel up to 2 hours away daily
- Requires an LSW, LCSW, LMHC, LMSW or license other than RN in accordance with applicable state law
- Nursing Diploma or AS in Nursing or a related field
- Minimum of 2 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role
- Current, unrestricted LSW, LCSW, LMHC, LMSW or license other than RN, as allowed by state law, in applicable state(s) required
- Understanding of disease processes and terminology
- Application of clinical guidelines
- MA/MS in Health/Nursing preferred
- State-specified certification may be required based on state law and/or contract
- Ability to travel to worksite and other locations as necessary
- Candidates must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Hybrid workforce strategy
- Professional and personal growth opportunities
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care CoordinationTelephonic AssessmentsFace-To-Face AssessmentsClinical Data CollectionDecision-Making SkillsUnderstanding Of Disease ProcessesApplication Of Clinical Guidelines
Certifications & Qualifications
LSWLCSWLMHCLMSW
Industry Keywords
Long-Term Services And Supports (LTSS)Chronic Illness ManagementCo-MorbiditiesSocial ServicesHealthcare Team Coordination