Field-Based Family Care RN Case Manager

Elevance Health, Inc.; Sparta (WI); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Elevance Health is seeking an LTSS Service Coordinator – RN Clinician (RN Case Manager) to manage member care across the continuum in Wisconsin. Traveling to member sites and designated locations, you will conduct assessments, develop care plans, and coordinate with health teams to support optimal, person‑centered outcomes.

Required are an active RN license in Wisconsin and 3+ years in case management with chronic conditions; BSN/ASN with relevant experience preferred.

Qualifications

• Requires an Associate of Science in Nursing or Bachelor of Science in Nursing and 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.

Responsibilities

• Perform telephonic and face‑to‑face functional assessments to identify, evaluate, coordinate and manage members' needs, including physical health, behavioral health, social services and long term supports.
• Manage members with chronic illnesses to ensure cost effective and efficient health benefits utilization.
• Obtain thorough member history to develop an individual care plan.
• Establish short and long term goals with members, caregivers and physicians; identify needs for alternative care or waivers.
• Develop care plans for services and ensure access to those services.
• Assist with authorizations/referrals within benefits structure or extra‑contractual arrangements as permissible.
• Coordinate with Medical Directors and Inter‑Disciplinary Teams on care management and problem solve with providers.

Skills

Interpersonal communication

Crisis management

Team collaboration

Problem solving

Technology proficiency

Education

ASN or BSN

Job description

Elevance Health is seeking an LTSS Service Coordinator – RN Clinician (RN Case Manager) to manage member care across the continuum in Wisconsin. Traveling to member sites and designated locations, you will conduct assessments, develop care plans, and coordinate with health teams to support optimal, person‑centered outcomes.

Required are an active RN license in Wisconsin and 3+ years in case management with chronic conditions; BSN/ASN with relevant experience preferred.