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Elevance Health

LTSS Service Coordinator, RN Clinician

Elevance Health

. Manage members' cases within the scope of licensure .

Posted 10/27/2026full-timeBrentwood • Tennessee • United StatesMid-LevelSeniorWebsite

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 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

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Applicant 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