LTSS Service Coordinator – RN Clinician, RN Case Manager

Elevance Health

. Manage members’ cases within the scope of RN licensure .

Posted 10/9/2026full-timeRaleigh • North Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and care coordination for members with chronic illnesses and disabilities, ensuring effective utilization of health benefits and access to necessary services. Proficient in conducting clinical assessments and developing tailored care plans in collaboration with interdisciplinary teams.

Highest-signal resume keywords

Registered Nurse (RN)Case ManagementClinical AssessmentsCare CoordinationChronic Illness Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Plan DevelopmentMember History AssessmentService Authorization FacilitationRisk IdentificationHealth Benefit Utilization

Soft Skills

Interpersonal CommunicationTeam CollaborationProblem Solving

Certifications & Qualifications

Current RN LicenseState-Specified Certification (if applicable)

Industry Keywords

Chronic IllnessCo-MorbiditiesBehavioral HealthSocial ServicesLong-Term Services and Supports

About the role

Key responsibilities & impact

Manage members’ cases within the scope of RN licensure
Develop, monitor, evaluate, and revise member care plans
Perform face-to-face clinical 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
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 required 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, and service issue resolution
Direct and/or supervise LPN/LVN, LSW, LCSW, LMSW, and other licensed non-RN professionals
Assign tasks, verify and interpret member information, conduct additional assessments, and review non-RN clinician performance
Travel to worksites and other locations as necessary

Requirements

What you’ll need

RN required
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
Candidate should reside in Wake or Cumberland County, North Carolina
Must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
MA/MS in Health/Nursing preferred
Ability to travel to the worksite and other locations as necessary
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) with company match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Hybrid workforce strategy
Vaccination coverage/requirement for certain patient/member-facing roles