Field-Based RN Care Coordinator – LTSS

Elevance Health, Inc.; Richmond (VA); Hybrid; USD 50,000 - 75,000; Full time

Job summary

The LTSS Service Coordinator - RN Clinician with Elevance Health works across Virginia, traveling to client sites to manage complex member cases and coordinate care under state licensure. The role combines clinical assessment, care planning, and cross-disciplinary collaboration to optimize outcomes and align with contract requirements.

Candidates should have an active RN license, a minimum of 3 years in chronic care or related case management, and be prepared for field-based work with occasional

Qualifications

• HS diploma or equivalent.
• Minimum of 3 years of experience with chronic illnesses, co-morbidities, or disabilities in a service coordination or case management role.
• Current, active valid and unrestricted RN license in applicable state(s) required.
• May require state-specified certification based on state law and/or contract.

Responsibilities

• Identifies members for high risk complications and coordinates care with the health care team.
• Manages members with chronic illnesses to ensure 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.
• The RN has overall responsibility to develop 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, as appropriate, within benefits structure or through extra-contractual arrangements, as permissible.
• Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans.
• May also assist in problem solving with providers, claims or service issues.
• Provide direction and oversight to LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians' performance on a regular basis.

Skills

RN license

Care coordination

Education

RN license (State-specific)

Job description

The LTSS Service Coordinator - RN Clinician with Elevance Health works across Virginia, traveling to client sites to manage complex member cases and coordinate care under state licensure. The role combines clinical assessment, care planning, and cross-disciplinary collaboration to optimize outcomes and align with contract requirements.

Candidates should have an active RN license, a minimum of 3 years in chronic care or related case management, and be prepared for field-based work with occasional