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LTSS Service Coordinator – RN Clinician
Elevance Health. Manage members' cases within the scope of RN licensure .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and care coordination for members with chronic illnesses and disabilities, ensuring effective communication with interdisciplinary teams and oversight of non-RN clinicians. Proficient in developing and revising care plans while facilitating access to necessary services and authorizations.
Highest-signal resume keywords
RN LicenseCase Management ExperienceChronic Illness ManagementCare Plan DevelopmentInterdisciplinary Team Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical AssessmentCare CoordinationService AuthorizationMember History DocumentationGoal Setting
Soft Skills
LeadershipCommunicationOversight
Certifications & Qualifications
State-Specified Certification
Industry Keywords
Chronic IllnessCo-MorbiditiesDisabilitiesHealthcare TeamsTelephonic Assessments
About the role
Key responsibilities & impact- Manage members' cases within the scope of RN licensure
- Provide direction and oversight to non-RN clinicians participating in members' cases
- Develop, monitor, evaluate, and revise member care plans
- Perform telephonic and face-to-face clinical assessments
- Identify high-risk members and coordinate care with members and healthcare teams
- Manage members with chronic illnesses, co-morbidities, and/or disabilities
- Obtain member histories and establish short- and long-term goals with members, caregivers, families, natural supports, and physicians
- Identify members who may benefit from alternative levels of care or waiver programs
- Ensure members' access to care-plan services
- Facilitate service authorizations and referrals when appropriate
- Interface with Medical Directors, Physician Advisors, and interdisciplinary teams
- Assist with provider, claims, and service issues
- Assign tasks to non-RN clinicians, verify and interpret member information, conduct additional assessments, and review their performance
Requirements
What you’ll need- HS diploma or equivalent
- Minimum of 3 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience providing an equivalent background
- Current, active, valid and unrestricted RN license in applicable state(s) required
- May require state-specified certification based on state law and/or contract
- Candidates should reside in Wayne County, Union County, or Franklin County, IN
- Must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
- Associates/MA/MS in Health/Nursing preferred
- Ability to travel to the worksite and other locations as necessary
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