Service Manager
PwC
Mid · Seniorfull-time$91k–$322k / yearFlorida, Illinois, North Carolina, Ohio · 🇺🇸 United States
Posted: 2 hours agoSource: pwc.wd3.myworkdayjobs.com
Cloud
LTSS Service Coordinator – RN Clinician, RN Case Manager
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Columbus • Ohio • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Responsible for overall management of member's case within the scope of licensure
- Develops, monitors, evaluates, and revises the member's care plan to meet the member's needs
- Responsible for performing telephonic and face-to-face functional assessments for the identification, evaluation, coordination and management of member's needs
- Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team
- Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits
- Obtains a thorough and accurate member history to develop an individual care plan
- Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians
- Identifies members that would benefit from an alternative level of care or other waiver programs
- Ensures the member's access to those services
- May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services
- Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management of person-centered care plans
Requirements
- Requires a high school diploma or GED equivalent
- Minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role
- Current, active valid and unrestricted RN license in applicable state(s) required
- BA/BS in Health/Nursing preferred
- Strong preference for case management experience with older adults or individuals with disabilities
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
case managementfunctional assessmentscare plan developmentchronic illness managementco-morbidity managementdisability managementutilization managementauthorizationsreferrals
Soft skills
collaborationcommunicationevaluationmonitoringgoal setting
Certifications
RN licenseBA/BS in HealthBA/BS in Nursing
