Field-Based RN Clinician & Care Coordinator

Elevance Health, Inc.; United States; Hybrid; USD 60,000 - 75,000; Full time

Job summary

Elevance Health, Inc. seeks a LTSS Service Coordinator - RN Clinician to manage member care in Brooklyn and Manhattan. This field-based role travels to client sites and offices as needed, with hybrid/limited onsite requirements.

The RN will conduct face-to-face assessments, develop and monitor care plans across physical and behavioral health, and supervise non-RN clinicians to optimize service delivery within contractual guidelines.

Qualifications

• HS diploma or equivalent with at least 3 years in case management or similar work with chronic illnesses/disabilities.
• Current, unrestricted RN license in applicable state(s).
• State-specific certification may be required by state law and/or contract.

Responsibilities

• Identify members for high risk complications and coordinate care with the health care team.
• Manage members with chronic illnesses to ensure cost-effective and efficient utilization of health benefits.
• Obtain thorough member history to develop an individualized care plan.
• Establish short and long-term goals with the member and care circle; identify needs for alternative levels of care or waivers.
• Develop and oversee the member's care plan and ensure access to services.
• Facilitate authorizations/referrals for utilization of services within benefits or contracts.
• Interface with Medical Directors and Interdisciplinary Teams on care plans.
• Assist in problem-solving with providers, claims or service issues.
• Supervise non-RN clinicians involved in member care and review their performance.

Skills

Care coordination

Case management

RN supervision

Clinical assessment

Communication

Education

HS diploma or equivalent

RN license (unrestricted)

State certification (where required)

MA/MS in Health/Nursing (preferred)

Job description

Elevance Health, Inc. seeks a LTSS Service Coordinator - RN Clinician to manage member care in Brooklyn and Manhattan. This field-based role travels to client sites and offices as needed, with hybrid/limited onsite requirements.

The RN will conduct face-to-face assessments, develop and monitor care plans across physical and behavioral health, and supervise non-RN clinicians to optimize service delivery within contractual guidelines.