LTSS Service Coordinator – RN Clinician, RN Case Manager
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: La Crosse • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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
- 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
- Develops the care plan for services for the member and 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
- May also assist in problem solving with providers, claims or service issues
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
- Long Term Care background preferred
- Commitment to member-centered care and cultural responsiveness
- Family Care/Partnership experience preferred
- Comfortable using technology preferred
- Strong interpersonal and communication skills
- Ability to work collaboratively in team environment
- Problem solving and crisis management abilities
Benefits
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- 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
functional assessmentscare coordinationchronic illness managementindividual care plan developmentutilization managementproblem solvingcrisis managementauthorizationsreferrals
Soft skills
interpersonal skillscommunication skillscollaborative teamworkcultural responsivenessmember-centered care
Certifications
RN licenseBA/BS in Health/Nursing