Field RN Case Manager - LTSS & Care Coordination

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

Job summary

Elevance Health, Inc. is seeking an LTSS Service Coordinator - RN Clinician (RN Case Manager) based in North Carolina. The role operates in the field across Wake and Cumberland counties, with occasional office attendances for meetings or training.

You will manage member cases, develop care plans, and coordinate services with the health care team. The role requires an RN with at least 3 years of experience in chronic illness management within case management or similar settings.

Qualifications

• RN license required and unrestricted.
• Minimum 3 years of experience with chronic illnesses in a case management or similar role.
• State-specific certification may be required by state law or contract.

Responsibilities

• Manage member care plans across health care needs.
• Conduct face-to-face clinical assessments to coordinate services.
• Develop and revise care plans with goals in collaboration with member and care team.
• Coordinate authorizations/referrals within benefits structure or through contracts.
• Supervise non-RN clinicians involved in coordinating services; ensure quality and input on performance.

Skills

Travel to worksite

Education

RN license (unrestricted)

MA/MS in Health/Nursing (preferred)

Job description

Elevance Health, Inc. is seeking an LTSS Service Coordinator - RN Clinician (RN Case Manager) based in North Carolina. The role operates in the field across Wake and Cumberland counties, with occasional office attendances for meetings or training.

You will manage member cases, develop care plans, and coordinate services with the health care team. The role requires an RN with at least 3 years of experience in chronic illness management within case management or similar settings.