LTSS Service Coordinator-RN Clinician
19 hours 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 SoutheastHouston, 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
24 hours ago
Galveston, 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 SoutheastHouston, TX. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of...
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LTSS Service Coordinator-RN Clinician
2 weeks ago
galveston, 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 SoutheastHouston, 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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LTSS Service Coordinator-RN Clinician
17 hours ago
Houston, 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 the Houston, TX area. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of...
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LTSS Service Coordinator-RN Clinician
19 hours 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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LTSS Service Coordinator-RN Lead Clinician
20 hours ago
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Nurse Service Coordinator
3 weeks ago
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Nurse Service Coordinator
3 weeks ago
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LTSS Service Care Manager
1 month ago
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Nurse Service Coordinator
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Field Case Manager, LTSS
3 weeks ago
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LTSS Service Care Coordinator
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Rockford, IL, United States Meridian Illinois 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. ***NOTE: This is a hybrid-remote role with 75% local facility visits....
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Field Case Manager, LTSS
3 weeks ago
El Paso, TX, United States Molina Healthcare Full timeJOB DESCRIPTIONOpportunity for TX licensed RN residing in the service delivery area of El Paso, TX to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the responsibilities of the role is to conduct face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services we need...
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Senior LTSS Service Care Manager, RN
2 days ago
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LTSS Service Care Manager
6 days ago
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LTSS Service Care Manager RN
1 day ago
San Antonio, TX, United States Pyramid Consulting, Inc Full timeImmediate need for a talented LTSS Service Care Manager RN. This is a 06+months contract opportunity with long-term potential and is located in San Antonio, TX(Remote). Please review the job description below and contact me ASAP if you are interested.Job ID: 24-46600Pay Range: $40 - $45/hour + Mileage. Employee benefits include, but are not limited to,...
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Field Case Manager, LTSS
3 weeks ago
El Paso, TX, United States Molina Healthcare Full timeJOB DESCRIPTION Opportunity for TX licensed RN residing in the service delivery area of El Paso, TX to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the responsibilities of the role is to conduct face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services we...
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Nurse Service Coordinator
3 weeks ago
San Antonio, TX, United States University Health Full timeEDUCATION/EXPERIENCE Graduation from a accredited school of professional nursing is required. BSN is preferred. Four (4) recent years of clinical experience are preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is...
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LTSS Service Care Manager
2 weeks ago
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Nurse Clinician III
2 weeks ago
Galveston, Texas, United States UTMB Health Full timeJob SummaryWe are seeking a skilled and experienced Nurse Clinician III to join our team at UTMB Health. As a competent clinician, you will possess the knowledge and skills to meet the standards for professional nursing practice as specified in the Texas Nurse Practice Act.Key ResponsibilitiesAssess, plan, implement, evaluate, and document the daily care of...
