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LTSS Service Coordinator – RN Clinician, RN Case Manager
Elevance Health. Perform telephonic and face-to-face functional assessments .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing care for individuals with chronic illnesses and disabilities, including developing individualized care plans and coordinating with healthcare teams. Proficient in conducting functional assessments and facilitating service authorizations within healthcare frameworks.
Highest-signal resume keywords
RN License in OhioCase Management ExperienceChronic Illness ManagementFunctional AssessmentsCare Coordination
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 DevelopmentService CoordinationHealth Benefit UtilizationRisk AssessmentInterdisciplinary Team Collaboration
Soft Skills
CommunicationProblem-SolvingInterpersonal Skills
Certifications & Qualifications
RN License
Industry Keywords
Chronic IllnessCo-MorbiditiesDisabilitiesPerson-Centered CareService Authorizations
About the role
Key responsibilities & impact- 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 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
- Develop member service care plans and ensure access to 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 an equivalent combination of education and experience
- Current, active, valid, and unrestricted RN license in Ohio required
- Strong preference for case management experience with older adults or individuals with disabilities
- BA/BS in Health/Nursing preferred
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase plan
- 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
- Life insurance
- Wellness programs
- Financial education resources