LTSS Service Coordinator – RN Clinician (RN Case Manager) Eastern Ohio

Elevance Health; Seven Hills (OH); Hybrid; USD 50,000 - 76,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

Elevance Health in Columbus, OH, seeks an LTSS Service Coordinator RN Clinician to manage member care plans across physical, behavioral health, long‑term supports and psychosocial needs.

The RN will conduct telephonic and in-person assessments, develop goals, and coordinate with providers to optimize care and costs. Requires an Ohio RN license, a high school diploma or GED, and 3+ years in case management. Travel to client sites is expected with occasional office days.

Qualifications

• Active RN license in Ohio required.
• Minimum 3 years in case management or related role.
• High school diploma or GED required; additional degree preferred.

Responsibilities

• Perform telephonic and face-to-face functional assessments to identify and manage member needs.
• Manage members with chronic illnesses to ensure cost-effective use of benefits.
• Develop individual care plans with member, caregivers, and care team.
• Establish short and long-term goals and coordinate with providers and waivers as needed.
• Develop care plans and ensure member access to services across care continuum.
• Assist with authorizations/referrals within benefits structure or as permitted.

Skills

Telephonic assessments

Face-to-face assessments

Care coordination

Case management

Education

RN license (Ohio)

High school diploma or GED

BA/BS in Health or Nursing (preferred)

Job description

Hiring in the following counties:

• Franklin
• Muskegum
• Guernsey
• Noble
• Washington
• Morgan

Location: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The MyCare Ohio health plan is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.

The LTSS Service Coordinator‐RN Clinician is responsible for overall management of member's case within the scope of licensure, develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of prioritizing person-centered thinking and optimizing member health care across the care continuum.

How you will make an impact:

• Responsible for performing telephonic and face-to-face functional assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team.
• Manages members with chronic illnesses, co‑morbidities, and/or disabilities, to insure 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 of person‑centered care plans. May also assist in problem solving with providers, claims or service issues.
• Requires a high school diploma or GED equivalent and minimum of 3 years of experience in working with individuals with chronic illnesses, co‑morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.
• Current, active valid and unrestricted RN license in Ohio state(s) required.

Preferred Skills, Capabilities and Experiences:

• BA/BS in Health/Nursing preferred.
• Strong preference for case management experience with older adults or individuals with disabilities.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $36.38/hr to $54.58/hr.

Location: Columbus, OH

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non‑discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.