Field-Based RN Case Manager for LTSS

Elevance Health, Inc.; Ohio; Híbrido; USD 50.000 - 63.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive benefits package

401(k) plan with company match

Equity stock purchase program

Descripción de la vacante

Elevance Health, Inc. is seeking an LTSS Service Coordinator – RN Clinician (Case Manager) to manage member care across physical health, behavioral health, long-term services and supports.

This field-based role requires Ohio residency and travel to client sites, with hybrid/office requirements as per policy. The RN will assess, plan, implement and monitor individualized care plans, coordinating with medical directors and care teams to ensure person-centered, high-quality outcomes while

Formación

• 3+ years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a service coordination or case management role.
• Active, unrestricted RN license in Ohio required.

Responsabilidades

• Perform telephonic and face-to-face functional assessments to identify, evaluate, coordinate and manage member needs.
• Manage members with chronic illnesses to ensure cost-effective use of health benefits.
• Develop individual care plans based on member history and goals.
• Collaborate with member, caregivers, physicians and health team to set short and long-term goals.
• Develop care plans for services and ensure member access to those services.
• Assist with authorizations/referrals within benefits or extra-contractual arrangements.

Conocimientos

Case management

Care planning

Interdisciplinary collaboration

Chronic illness coordination

Educación

Registered Nurse license in Ohio

BA/BS in Health/Nursing (preferred)

Descripción del empleo

Elevance Health, Inc. is seeking an LTSS Service Coordinator – RN Clinician (Case Manager) to manage member care across physical health, behavioral health, long-term services and supports.

This field-based role requires Ohio residency and travel to client sites, with hybrid/office requirements as per policy. The RN will assess, plan, implement and monitor individualized care plans, coordinating with medical directors and care teams to ensure person-centered, high-quality outcomes while