LTSS Service Coordinator

4 hours ago

Corpus Christi TX United States Elevance Health Full time
LTSS Service Coordinator - RN

Anticipated End Date: 2025-06-30 Position Title: LTSS Service Coordinator - RN Job Description: Location: Field associates spend 3-5 days per week in-person with patients, members or providers The LTSS Service Coordinator- RN 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, as required by the Texas Medicaid STAR+ PLUS program; 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. How you will make an impact: * Responsible for performing telephonic or 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. * 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. Preferred Skills, Capabilities and Experiences: * Bilingual (English/Spanish) is preferred. * May require state-specified certification based on state law and/or contract. * Travels to worksite and other locations as necessary. * Experience working with older adults in care management, provider or other capacity, highly preferred. * Experience managing a community and/or facility-based care management case load, highly preferred. 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.

  • LTSS Service Coordinator

    1 month ago

    Corpus Christi, Texas, United States Elevance Health Full time

    Job Title: LTSS Service CoordinatorJob Summary:The LTSS Service Coordinator is responsible for managing member cases within the scope of licensure, providing supervision and direction to non-RN clinicians, and developing, monitoring, evaluating, and revising care plans to meet member needs.Key Responsibilities:Perform telephonic or face-to-face clinical...

  • LTSS Service Coordinator

    1 month ago

    Corpus Christi, Texas, United States Elevance Health Full time

    Job Title: LTSS Service Coordinator - RNJob Summary:The LTSS Service Coordinator - RN is responsible for managing the care of members with complex needs, including physical health, behavioral health, social services, and long-term services and supports. This role requires strong clinical skills, excellent communication, and the ability to work...

  • LTSS Service Coordinator

    4 weeks ago

    Corpus Christi, Texas, United States Elevance Health Full time

    LTSS Service Coordinator - RN Job DescriptionThe LTSS Service Coordinator - RN is a critical role at Elevance Health, responsible for managing the overall care of members with complex needs. This position requires a skilled RN to develop, implement, and monitor individualized care plans that optimize member health outcomes.Key Responsibilities:Perform...

  • LTSS Service Coordinator

    4 months ago

    Corpus Christi, United States Elevance Health Full time

    Anticipated End Date: 2024-07-26 Position Title: LTSS Service Coordinator - RN Job Description: Location: Field associates spend 3-5 days per week in-person with patients, members or providers The LTSS Service Coordinator- RN is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN...

  • LTSS Service Coordinator

    2 weeks ago

    Corpus Christi, United States Elevance Health Full time

    LTSS Service Coordinator - RNAnticipated End Date: 2025-06-30 Position Title: LTSS Service Coordinator - RN Job Description: Location: Field associates spend 3-5 days per week in-person with patients, members or providers The LTSS Service Coordinator- RN is responsible for overall management of member's case within the scope of licensure; provides...

  • LTSS Service Coordinator

    2 months ago

    corpus christi, United States Elevance Health Full time

    LTSS Service Coordinator - RNAnticipated End Date: Position Title: LTSS Service Coordinator - RN Job Description: Location: Field associates spend 3-5 days per week in-person with patients, members or providers The LTSS Service Coordinator- RN is responsible for overall management of member's case within the scope of licensure; provides supervision...

  • LTSS Service Coordinator

    5 months ago

    Corpus Christi, United States Elevance Health Full time

    Anticipated End Date:2024-07-26Position Title:LTSS Service Coordinator - RNJob Description:Location: Field associates spend 3-5 days per week in-person with patients, members or providers The LTSS Service Coordinator- RN is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN...

  • LTSS Service Coordinator-RN Clinician

    1 week ago

    Galveston, TX, United States Elevance Health Full time

    LTSS 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...

  • LTSS Service Coordinator-RN Clinician

    1 week ago

    Dallas, TX, United States Elevance Health Full time

    LTSS 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;...

  • LTSS Service Coordinator-RN Clinician

    1 week ago

    Houston, TX, United States Elevance Health Full time

    LTSS 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...

  • LTSS Service Coordinator-RN Clinician

    4 hours ago

    Grand Prairie, TX, United States Elevance Health Full time

    LTSS 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 Southeast/Central Dallas. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of...

  • LTSS Service Coordinator-RN Lead Clinician

    1 week ago

    Grand Prairie, TX, United States Elevance Health Full time

    LTSS Service Coordinator-RN Lead ClinicianAnticipated End Date: 2025-01-31 Position Title: LTSS Service Coordinator-RN Lead Clinician Job Description: Location: This is a field position and the candidate should reside in Lubbock, or WRSA service delivery area. The LTSS Service Coordinator - RN Lead Clinician (US) is responsible for leading a team and...

  • LTSS Service Care Manager

    1 week ago

    Corpus Christi, United States Pyramid Consulting, Inc Full time

    Immediate need for a talented LTSS Service Care Manager (LVN). This is a 03+months contract opportunity with long-term potential and is located in Corpus Christi, TX (Remote). Please review the job description below and contact me ASAP if you are interested.Job ID: 24-49004 Pay Range: $24 - $27/hour. Employee benefits include, but are not limited to, health...

  • LTSS Service Care Manager

    1 week ago

    Corpus Christi, United States Pyramid Consulting, Inc Full time

    Immediate need for a talented LTSS Service Care Manager (LVN). This is a 03+months contract opportunity with long-term potential and is located in Corpus Christi, TX (Remote). Please review the job description below and contact me ASAP if you are interested.Job ID: 24-49004 Pay Range: $24 - $27/hour. Employee benefits include, but are not limited to, health...

  • LTSS Service Care Manager

    7 days ago

    corpus christi, United States Pyramid Consulting, Inc Full time

    Immediate need for a talented LTSS Service Care Manager (LVN). This is a 03+months contract opportunity with long-term potential and is located in Corpus Christi, TX (Remote). Please review the job description below and contact me ASAP if you are interested.Job ID: 24-49004 Pay Range: $24 - $27/hour. Employee benefits include, but are not limited to, health...

  • LTSS Service Care Manager

    1 week ago

    corpus christi, United States Pyramid Consulting, Inc Full time

    Immediate need for a talented LTSS Service Care Manager (LVN). This is a 03+months contract opportunity with long-term potential and is located in Corpus Christi, TX (Remote). Please review the job description below and contact me ASAP if you are interested.Job ID: 24-49004 Pay Range: $24 - $27/hour. Employee benefits include, but are not limited to, health...

  • Senior LTSS Service Care Manager, RN

    3 weeks ago

    Corpus Christi, United States Centene Corporation Full time

    You 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. Job Description Travel LTSS RN Case Manager - seeking RNs in the...

  • Senior LTSS Service Care Manager, RN

    1 week ago

    Corpus Christi, United States Centene Corporation Full time

    You 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.Job Description**Travel LTSS RN Case Manager - seeking RNs in the...

  • Nurse Service Coordinator

    1 day ago

    San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES             The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member’s cases following applicable state law and...

  • Nurse Service Coordinator

    4 days ago

    San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBIILITIES The Service Coordinator-RN/NP/PA (SC-RN/NP/PA) provides STAR Kids Members with initial and ongoing assistance by identifying, selecting, obtaining, coordinating, and using Covered Services and other supports to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The...