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Elevance Health

LTSS Service Coordinator – RN Clinician

Elevance Health

. Manage members' cases within the scope of licensure .

Posted 10/30/2026full-timeFresno • California • United StatesMid-LevelSenior💰 $42 - $52 per hourWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in case management and care coordination for individuals with chronic illnesses and disabilities, ensuring effective utilization of health benefits and compliance with state regulations. Proficient in developing and revising care plans while supervising non-RN clinicians and collaborating with interdisciplinary teams.

Highest-signal resume keywords
RN LicenseCase Management ExperienceClinical Assessment SkillsCare Plan DevelopmentSupervision of Non-RN Clinicians

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Clinical AssessmentsCare CoordinationChronic Illness ManagementGoal SettingService AuthorizationsRisk IdentificationInterdisciplinary CollaborationHealth Benefit UtilizationMember History DocumentationAlternative Care Identification
Soft Skills
LeadershipCommunicationProblem-SolvingTeam ManagementInterpersonal Skills
Certifications & Qualifications
Current RN LicenseState-Specified Certification
Industry Keywords
Chronic IllnessCo-MorbiditiesDisabilitiesService CoordinationHealthcare TeamsPatient CareBehavioral HealthSocial ServicesLong-Term ServicesCOVID-19 Vaccination

About the role

Key responsibilities & impact
  • Manage members' cases within the scope of licensure
  • Supervise and direct non-RN clinicians participating in members' cases
  • Develop, monitor, evaluate, and revise member care plans
  • Perform face-to-face clinical assessments covering physical health, behavioral health, social services, and long-term services and supports
  • Identify members at high risk for complications and coordinate care with members and healthcare teams
  • Manage members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective utilization of health benefits
  • Obtain member histories and establish short- and long-term goals with members, caregivers, families, physicians, and natural supports
  • Identify members who may benefit from alternative levels of care or waiver programs
  • Facilitate service authorizations and referrals
  • Interface with Medical Directors, Physician Advisors, and interdisciplinary teams
  • Assist with provider, claims, and service issues
  • Assign and review work performed by LPN/LVN, LSW, LCSW, LMSW, and other non-RN licensed professionals
  • Travel to worksites and other locations as necessary

Requirements

What you’ll need
  • RN and 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, unrestricted RN license in applicable state(s) required
  • May require state-specified certification based on state law and/or contract
  • MA/MS in Health/Nursing preferred
  • Must reside in Sacramento, Fresno, or Santa Clara, California, or within commuting distance of an office
  • May be required to become vaccinated against COVID-19 and Influenza for certain patient/member-facing roles

Benefits

Comp & perks
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401(k) contribution and match
  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Short-term disability benefits
  • Long-term disability benefits
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
  • Hybrid work flexibility
  • Professional and personal growth opportunities