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LTSS Service Coordinator – RN Clinician, RN Case Manager
Elevance Health. Perform telephonic and face-to-face functional assessments to identify, evaluate, coordinate, and manage members' physical health, behavioral health, social services, and long-term services and supports needs .
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, focusing on developing and implementing person-centered care plans. Proficient in collaborating with healthcare teams and facilitating access to necessary services while ensuring compliance with health benefit structures.
Highest-signal resume keywords
RN License in OhioCase Management ExperienceChronic Illness ManagementCare Plan DevelopmentInterdisciplinary Team Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Functional AssessmentsCare CoordinationMember History DocumentationGoal SettingService AuthorizationProblem SolvingHealth Benefit UtilizationAlternative Care IdentificationField OperationsClient Interaction
Soft Skills
CommunicationEmpathyCollaborationOrganizational SkillsInterpersonal Skills
Certifications & Qualifications
RN License
Industry Keywords
Chronic IllnessCo-MorbiditiesDisabilitiesService CoordinationPerson-Centered CareHealthcare TeamsOlder AdultsLong-Term Services and SupportsCOVID-19 VaccinationInfluenza Vaccination
About the role
Key responsibilities & impact- Perform telephonic and face-to-face functional assessments to 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 support cost-effective and efficient utilization of health benefits
- Obtain thorough and accurate member histories and 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 care plans for member services and ensure access to those services
- Facilitate authorizations and referrals for services 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-related problem solving
- Primarily operate in the field, traveling to client sites or designated locations, with occasional office attendance for meetings or training
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 required
- Strong preference for case management experience with older adults or individuals with disabilities
- BA/BS in Health/Nursing preferred
- Ability to work within a reasonable commuting distance from the posting location(s), unless an accommodation is granted
- Patient/member-facing candidates may be required to be 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) with company match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources