LTSS Service Coordinator-RN Clinician
2 weeks ago
Anticipated End Date: 2025-02-28 Position Title: LTSS Service Coordinator-RN Clinician Job Description: Location: This is a field position and the candidate should reside in Dallas, TX. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Responsible for performing face-to-face clinical 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. How you will make an impact: * 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 treatment plans. * May also assist in problem solving with providers, claims or service issues. * Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians' performance on a regular basis. 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. * May require state-specified certification based on state law and/or contract. Preferred Skills, Knowledge, and Experience: * MA/MS in Health/Nursing preferred. * Travels to worksite and other locations as necessary. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse 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. 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. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. 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 elevancehealthjobssupport@elevancehealth.com for assistance.
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LTSS Service Coordinator-RN Clinician
4 weeks ago
dallas, United States Elevance Health Full timeLTSS Service Coordinator-RN ClinicianAnticipated End Date: Position Title: LTSS Service Coordinator-RN Clinician Job Description: Location: This is a field position and the candidate should reside in Dallas, TX. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides...
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LTSS Service Coordinator-RN Clinician
2 weeks ago
Dallas, TX, United States Elevance Health Full timeLTSS Service Coordinator-RN ClinicianAnticipated End Date: 2025-02-28 Position Title: LTSS Service Coordinator-RN Clinician Job Description: Location: This is a field position and the candidate should reside in Dallas, TX. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure;...
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Dallas, Texas, United States Molina Healthcare Full timeJob SummaryMolina Healthcare is seeking a skilled Care Coordinator to join our Long-Term Services and Supports (LTSS) team. As a Care Coordinator, you will work with our Medicaid members in the Dallas County service delivery area to assess, facilitate, and coordinate an integrated delivery of care across the continuum.Key ResponsibilitiesConduct face-to-face...
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Senior LTSS Service Care Manager RN
2 weeks ago
Dallas, United States Centene Corporation Full timePerforms care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective car Care Manager, RN, Manager, Healthcare, Service, Senior
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Senior LTSS Service Care Manager
2 weeks ago
Dallas, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidate must reside in Dallas County in order to fulfill regional...
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Senior LTSS Service Care Manager
3 weeks ago
Dallas, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidate must reside in Dallas County in order to fulfill regional...
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Senior LTSS Service Care Manager
3 weeks ago
Dallas, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidate must reside in the Dallas, TX region in order to fulfill...
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Senior LTSS Service Care Manager
3 weeks ago
Dallas, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidate must reside in the Dallas, TX region in order to fulfill...
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Senior LTSS Service Care Manager
2 weeks ago
Dallas, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Candidate must reside in the Dallas, TX region in order to fulfill...
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Senior LTSS Service Care Manager
1 week ago
DALLAS, United States Superior HealthPlan Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidate must reside in the Dallas, TX region in order to fulfill...
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Senior LTSS Service Care Manager
1 week ago
Dallas, United States Superior HealthPlan Full timeJob DescriptionYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Candidate must reside in the Dallas, TX region in order...
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Field Case Manager, LTSS
4 weeks ago
Dallas, Texas, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.Our team is seeking a skilled RN Case Manager to work with our...
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Dallas, Texas, United States Steward Health Care Full timeThe Clinical Care Coordinator RN assumes primary responsibility for documenting medical necessity for inpatient status or observation placement at Steward Health Care. This role communicates with physicians and clinicians to ensure timely and cost-effective care coordination.KEY RESPONSIBILITIES:Utilize a systematic methodology to assess, plan, implement,...
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Senior LTSS Service Care Manager
2 weeks ago
Dallas, TX, United States Superior HealthPlan Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidate should reside in the MRSA Central service area - spanning...
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4 weeks ago
Dallas, United States Signify Health Full timeThe Credentialing Coordinator is responsible for ensuring clinicians successfully pass through the Signify Health credentialing process. Credentialing functions include, but are not limited to, assisting clinicians with the completion of their creden Credentialing, Coordinator, Healthcare, Business Services, Health
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Senior LTSS Service Care Manager
7 days ago
Dallas, TX, United States Superior HealthPlan Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidate must reside in the Dallas, TX region in order to fulfill...
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RN - Home Health
3 weeks ago
Dallas, United States Providence RN Full timeDescription Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is accountable for direct and indirect...
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RN - Home Health
2 weeks ago
Dallas, United States Providence RN Full timeDescription Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is...
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RN - Home Health
3 weeks ago
Dallas, United States Providence RN Full timeDescription Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is accountable for direct and indirect...
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RN - Home Health
3 weeks ago
Dallas, United States Providence RN Full timeDescription Home Health RN - Home Health Care Services at Providence Benedictine Nursing Center Area Coverage: Aumsville, Lyons, Mill City, Sublimity, Silverton, Salem Schedule: Monday- Friday The Registered Nurse Home Health, under the direction of the Home Health Clinical Supervision and on order of the physician, is...
