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Elevance Health

Transitions of Care RN – Bilingual Preferred

Elevance Health

. Participate in delivery of patient education and disease management interventions .

Posted 11/10/2026full-timeGrand Prairie • Texas • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in health coaching, patient education, and chronic disease management, with a strong focus on behavioral assessments and care plan coordination. Proficient in motivational interviewing techniques and effective communication with healthcare providers and members.

Highest-signal resume keywords
RN LicenseHealth CoachingChronic Disease ManagementBehavioral AssessmentsCase Management Experience

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
Patient EducationDisease Management InterventionsMotivational InterviewingCare Plan CoordinationClinical AssessmentsHealth Behavior ChangeReferral FacilitationMonitoring Intervention EffectivenessHome Health ExperienceCondition-Specific Clinical Experience
Soft Skills
Interpersonal CommunicationCollaborationProblem-SolvingEmpathyAdaptability
Certifications & Qualifications
Associate's Degree in NursingRN Compact LicenseCOVID-19 VaccinationInfluenza Vaccination
Industry Keywords
Chronic DiseasesHealth Coaching PlansPatient-Centered CareCommunity AgenciesBehavioral Health Needs

About the role

Key responsibilities & impact
  • Participate in delivery of patient education and disease management interventions
  • Perform health coaching for members across multiple lines and chronic disease health improvement/management programs
  • Conduct behavioral or clinical assessments to identify member knowledge, skills, and behavioral needs
  • Identify and/or coordinate health coaching plan needs addressing assessment objectives and goals
  • Interface with providers and other health professionals to coordinate member health coaching plans
  • Implement and/or coordinate coaching and care plans
  • Educate members regarding clinical needs
  • Facilitate referrals to health professionals for behavioral health needs
  • Use motivational interviewing to facilitate health behavior change
  • Monitor and evaluate intervention and health coaching plan effectiveness, modifying plans as needed
  • Direct members to facilities, community agencies, and appropriate providers/networks
  • Refer members to catastrophic case management

Requirements

What you’ll need
  • Associate's degree in nursing
  • Minimum of 2 years of condition-specific clinical or home health/discharge planning experience, or an equivalent combination of education and experience
  • Current unrestricted RN license in applicable state(s) required
  • RN compact license highly preferred
  • BS in nursing preferred
  • Prior case management experience preferred
  • Bilingual in Spanish highly preferred
  • Experience working with members who have chronic diseases highly preferred
  • Experience working in home health preferred
  • Ability to work Monday–Sunday with mandatory 2 weekends per month
  • Ability to work four 10-hour shifts
  • Candidates must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
  • COVID-19 and Influenza vaccination required for certain patient/member-facing roles, 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
  • Virtual full-time work arrangement, except for required in-person training sessions