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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 development and monitoring of person-centered care plans. Proficient in conducting assessments and collaborating with interdisciplinary teams to facilitate access to necessary services.
Highest-signal resume keywords
RN License in OhioCase Management ExperienceChronic Illness ManagementPerson-Centered Care PlansFunctional Assessments
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 DevelopmentFunctional AssessmentsChronic Illness ManagementCo-Morbidity CoordinationService Coordination
Soft Skills
Interpersonal CommunicationProblem SolvingCollaboration
Certifications & Qualifications
RN License
Industry Keywords
Case ManagementHealth ServicesBehavioral HealthSocial ServicesLong-Term Services and Supports
About the role
Key responsibilities & impact- Manage members' cases within the scope of licensure
- Develop, monitor, evaluate, and revise person-centered care plans
- Perform telephonic and face-to-face functional assessments
- Identify, evaluate, coordinate, and manage members' physical health, behavioral health, social services, and long-term services and supports needs
- Identify members at risk for complications and coordinate care with members and healthcare teams
- Manage members with chronic illnesses, co-morbidities, and/or disabilities to support cost-effective 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 within the benefits structure or through permissible extra-contractual arrangements
- Interface with Medical Directors, Physician Advisors, and interdisciplinary teams on person-centered care plans
- Assist with provider, claims, or service issue resolution
Requirements
What you’ll need- High school diploma or GED 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 Ohio state(s) required
- Strong preference for case management experience with older adults or individuals with disabilities
- BA/BS in Health/Nursing preferred
- Ability to work in-office 1–2 days per week
- 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 work arrangement
- Flexibility to support productivity and work-life balance
- Accommodation support as required by law