LTSS Service Coordinator-Clinician

2 months ago


Houston, United States Elevance Health Full time
Anticipated End Date:
2025-02-28

Position Title:
LTSS Service Coordinator-Clinician

Job Description:

Location: This is a field position and the candidate should reside in Houston, TX.

The LTSS Service Coordinator - Clinician working under the direction/supervision of an RN, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN with telephonic 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.
  • Obtains clinical data.
  • Identifies members that would benefit from an alternative level of care or other waiver programs.
  • Verifies and interprets information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.
  • Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits.
  • Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.
Minimum Requirements:
  • Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law and Nursing Diploma or AS in Nursing or a related field and minimum of 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background.
  • Current, unrestricted LPN/LVN, LSW, LCSW, LMSW or license other than RN (as allowed by state law) in applicable state(s) required.
  • May require state-specified certification based on state law and/or contract.
Preferred Skills, Knowledge, and Experience:
  • Previous experience with Utilization Management preferred.
  • Computer experience and experience using Microsoft Office Suite to include Outlook, Word, and Excel.
  • Travels to worksite and other locations as necessary.


Job Level:
Non-Management Non-Exempt

Workshift:

Job Family:
MED > Licensed/Certified - Other

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.

  • houston, United States Elevance Health Full time

    LTSS 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 the Houston, TX area. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure;...


  • Houston, 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...


  • Houston, United States Elevance Health Full time

    Anticipated End Date: 2025-03-31 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...


  • Houston, United States Elevance Health Full time

    Anticipated End Date:2025-02-28Position Title:LTSS Service Coordinator-RN ClinicianJob 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...


  • Houston, United States Elevance Health Full time

    Anticipated End Date:2025-02-28Position Title:LTSS Service Coordinator-RN ClinicianJob 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 licensure; provides supervision and direction to...


  • Houston, Texas, United States Elevance Health Full time

    OverviewElevance Health is a leading healthcare company dedicated to improving lives and communities.SalaryThe estimated annual salary for this position is $85,000-$115,000, based on location and experience.Job DescriptionAs an LTSS Service Coordinator-RN Clinician, you will play a vital role in managing members' cases, providing supervision and direction to...


  • Houston, Texas, United States Elevance Health Full time

    About the RoleAs a LTSS Care Manager Nurse Specialist with Elevance Health, you will play a crucial part in enhancing the lives of our members and their communities. Your dedication to delivering exceptional care management services will drive meaningful outcomes and foster a culture of compassion and excellence.Salary: $85,000 - $110,000 per year, depending...


  • Houston, Texas, United States Elevance Health Full time

    We are seeking a skilled RN Clinician to join our team as a LTSS Service Coordinator. As a member of our healthcare team, you will play a critical role in the overall management of members' cases within the scope of your licensure.About the JobThis is a field position requiring the candidate to reside in the Houston, TX area. You will work closely with...


  • Houston, Texas, United States Dynamic Service Solutions Full time

    Youth Services Coordinator OpportunityWe are seeking a dedicated Youth Services Coordinator to join our team at Dynamic Service Solutions. This role offers a unique opportunity to make a meaningful impact in the lives of youth in need.About the Position:Coordinate case management services, ensuring timely and safe release of youth in accordance with ORR...


  • Houston, Texas, United States Dynamic Service Solutions Full time

    Job DescriptionWe are looking for a skilled Counseling Services Coordinator to join our team. The estimated salary for this position is $55,000 - $75,000 per year.About the Position:The Counseling Services Coordinator will be responsible for coordinating mental health services for our clients. This includes scheduling appointments, communicating with clients...


  • Houston, Texas, United States Hamilton Health Box Full time

    We are looking for a motivated Primary Care Clinician to join our team at Hamilton Health Box. In this role, you will be responsible for delivering high-quality patient care, collaborating with other departments, and implementing initiatives to improve health outcomes.As an On-Site Clinician, you will work closely with patients, providers, and staff to...


  • Houston, Texas, United States Dynamic Service Solutions Full time

    Job Overview: Dynamic Service Solutions seeks a skilled Youth Services Coordinator to join our team. In this role, you will assist in coordinating case management services to ensure timely release of unaccompanied children (UC) in accordance with Office of Refugee Resettlement (ORR) policy and procedures.About the Role: As a Case Aide, you will be...


  • Houston, Texas, United States The Menninger Clinic Full time

    The Menninger Clinic is seeking a Staff Clinician to join our Adolescent Treatment Program. As a Staff Clinician, you will be responsible for providing clinical services to adolescents and their families.Job DescriptionThis role is ideal for a licensed therapist who has experience working with adolescents and their families. You will be part of a...


  • Houston, Texas, United States FIRST SERVICE CREDIT UNION Full time

    Job SummaryWe are seeking a highly motivated and experienced Member Service Representative to join our team at FIRST SERVICE CREDIT UNION. In this role, you will be responsible for providing support to the Branch Manager, including assisting with daily coordination of Tellers and Teller duties, educating and informing members on credit union products, and...


  • Houston, Texas, United States UnitedHealth Group Full time

    We are seeking a highly motivated and organized individual to join our team as a Healthcare Services Coordinator. This is an exciting opportunity to make a real difference in the lives of our patients and contribute to the success of our organization.The salary for this role is $50,400 per year, and we offer a range of benefits and perks to support your...

  • Network Manager

    4 weeks ago


    Houston, United States Academy Of Managed Care Pharmacy Full time

    JOB SUMMARY The Network Manager at Community Health Choice is responsible for network development and management. This role involves expanding provider networks for existing and new lines of business, negotiating provider agreements, ensuring regulatory compliance, and maintaining effective relationships with providers. The Provider Network Manager...


  • FORT SAM HOUSTON, United States Superior HealthPlan 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. Behavioral Health - Work from home and conduct field visits. Hiring...


  • Houston, Texas, United States FIRST SERVICE CREDIT UNION Full time

    About the Role:The Financial Services Coordinator is responsible for maintaining the financial health of our branch facilities, ensuring accurate cash handling and reconciliation processes. This role requires strong organizational skills, attention to detail, and a passion for delivering exceptional member service.Key Responsibilities:Maintain vault and ATM...


  • Houston, Texas, United States Bridges Core Service Agency, Inc Full time

    Job SummaryWe are seeking a highly skilled and dedicated Mental Health Services Coordinator to join our team at Bridges Core Service Agency, Inc. As a key member of our service team, you will provide essential support to consumers and their families or caregivers with mental health-related issues.About the RoleThe Mental Health Services Coordinator will work...


  • Houston, Texas, United States Houston Methodist Willowbrook Hospital Full time

    Job Description:This position is an exciting opportunity for a skilled nurse to join our team at Houston Methodist Willowbrook Hospital.About Us:Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital serving the Northwest Houston community. With 358 licensed beds, we are committed to providing quality,...