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LTSS Service Coordinator – RN Clinician
Elevance Health. Manage members' cases within the scope of 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 individuals with chronic illnesses and disabilities, ensuring effective utilization of health benefits and compliance with care plans. Proficient in supervising non-RN clinicians and conducting comprehensive clinical assessments.
Highest-signal resume keywords
RN LicenseCase Management ExperienceClinical Assessment SkillsCare Plan DevelopmentSupervision of Non-RN Clinicians
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 Plan DevelopmentClinical AssessmentChronic Illness ManagementCo-Morbidity ManagementService CoordinationRisk IdentificationCare CoordinationTask AssignmentPerformance ReviewMember History Documentation
Soft Skills
Interpersonal CommunicationLeadershipProblem SolvingCollaborationGoal Setting
Certifications & Qualifications
Current RN LicenseState-Specified Certification
Industry Keywords
HealthcareBehavioral HealthSocial ServicesLong-Term Services and SupportsInter-Disciplinary TeamsService AuthorizationsProvider Issue ResolutionPatient CareMember Access to CareVaccination Requirements
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 and efficient utilization of health benefits
- Obtain thorough and accurate member histories to develop individual care plans
- 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 Inter-Disciplinary Teams on care management treatment plans
- Assist with provider, claims, or service issue resolution
- Direct and/or supervise LPN/LVN, LSW, LCSW, LMSW, and other non-RN licensed professionals
- Assign tasks, verify and interpret member information, conduct additional assessments, and review non-RN clinician performance
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
- Candidates must reside in Davidson and surrounding counties
- Candidates must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
- Travel to worksite and other locations as necessary
- 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