Senior Clinical Care Coordinator RN

3 weeks ago

Dallas, Texas, United States Elevance Health Full time

Explore a career opportunity as a Senior Clinical Care Coordinator RN with Elevance Health, where you can make a meaningful impact on the lives of individuals and communities.

About the Role

This is an exceptional chance to join our team as a Senior Clinical Care Coordinator RN, utilizing your expertise in managing member cases within the scope of licensure. You will provide supervision and direction to non-RN clinicians, develop, monitor, evaluate, and revise care plans to meet member needs, and optimize healthcare across the care continuum.

In this role, you will perform face-to-face clinical assessments for identifying, evaluating, coordinating, and managing member needs, including physical health, behavioral health, social services, and long-term services and supports.

Responsibilities
  • Identify members at high risk for complications and coordinate care with the member and healthcare team.
  • Manage members with chronic illnesses, co-morbidities, and disabilities to ensure cost-effective and efficient utilization of health benefits.
  • Obtain thorough and accurate member histories to develop individualized care plans.
  • Establish short- and long-term goals in collaboration with the member, caregivers, family, natural supports, physicians, and identify those who would benefit from alternative levels of care or other waiver programs.

You will have overall responsibility for developing care plans for services for the member and ensuring their access to these services. Additionally, you may assist in implementing member care plans by facilitating authorizations/referrals for service utilization, as appropriate, within benefits structures or through extra-contractual arrangements, as permissible.

Requirements

To be successful in this role, you will require:

  • An active, unrestricted RN license in applicable states.
  • A minimum of 3 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role.
  • May require state-specified certification based on state law and/or contract.
About Elevance Health

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short- and long-term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources, to name a few.

We operate in a Hybrid Workforce Strategy, requiring associates to work at least once per week at an Elevance Health location, potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health, and we require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19, unless they provide an acceptable explanation.

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