Transition RN Coordinator

Anticipated End Date:

Position Title:

Job Description:

Transition RN Coordinator

Schedule: Monday-Friday 8am-5pm EST

Location: Marion County

Travel required up to 80% of the week

Field: 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.

The Transition RN Coordinator is responsible or overall management of members case within the scope of licensure; providessupervision anddirection to non-RN clinicians participating in the members case in accordance with applicable state law and contract; develops monitors evaluates and revises the members care plan to meet the members needs with the goal of optimizing member health care across the care continuum

How you will make an impact:

• Responsible for performing telephonic or face-to-face clinical assessmentsat their assigned hospitalsfor the identification evaluation coordination and management of members needs including physical health behavioral health social services and long term services and supportswithin transitions of care between care settings.

• 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.

• 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 treatment plansand providing clinical nursing support to develop monitor and assess changes during transitions of care into the Service Coordination forms and tools.

Minimum Requirements:

• Requires an RN 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 unrestricted RN license in applicable state(s) required.

Preferred Skills Capabilities and Experiences:

• Experience with Inpatient care management and utilization management highly preferred.

• Exceptional communication skills and customer service orientation highly preferred.

• Travels to worksite and other locations as necessary preferred.

Job Level:

Workshift:

Job Family:

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.

Who We Are

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.

How We Work

At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success - for our consumers our associates our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.