Remote LTSS RN Care Coordinator - NY Medicaid

Elevance Health; New York (NY); On-site; USD 35,900 - 68,563; Part time

Job summary

Elevance Health is seeking a registered nurse for a remote, contract-based care management role focused on LTSS for NY Medicaid members. You will oversee the member's care plan, coordinate telephonic or face-to-face assessments, and guide non‑RN clinicians under state law and contract to optimize health outcomes.

The role requires a HS diploma and 3+ years in chronic illness management, an active RN license, and LTSS/NY experience.

Qualifications

• HS diploma or equivalent with 3+ years in chronic illnesses, co-morbidities, and/or disabilities in a service coordination/case management role.
• Current, active, valid RN license in applicable state(s) required.
• MS in Health/Nursing preferred; state-specific certification may be required.

Responsibilities

• Oversee member care within licensure scope and develop/revise care plans to optimize health across the care continuum.
• Perform telephonic or in-person clinical assessments for evaluation, coordination, and management of needs.
• Identify high‑risk members and coordinate care with the health team; manage chronic conditions and cost-effective utilization.
• Interface with Medical Directors and other clinicians; supervise non‑RN clinicians in care coordination.

Skills

RN license

Care management

LTSS

NY Medicaid experience

Telephonic assessment

Education

HS diploma or equivalent

MS in Health/Nursing preferred

Job description

Elevance Health is seeking a registered nurse for a remote, contract-based care management role focused on LTSS for NY Medicaid members. You will oversee the member's care plan, coordinate telephonic or face-to-face assessments, and guide non‑RN clinicians under state law and contract to optimize health outcomes.

The role requires a HS diploma and 3+ years in chronic illness management, an active RN license, and LTSS/NY experience.