RN Telehealth Service Coordinator

4 days ago

Albany, New York, United States Elevance Health Full time
Job Description

LTSS Service Coordinator RN Telehealth

Location: Tri-state area (NY, NJ, or CT)

The LTSS Service Coordinator RN Telehealth is responsible for managing member cases within the scope of licensure. This role involves providing supervision and direction to non-RN clinicians, developing and revising care plans to meet member needs, and optimizing healthcare across the care continuum.

Key Responsibilities:

  • Perform telephonic clinical assessments to identify, evaluate, coordinate, and manage member needs.
  • Identify high-risk members and coordinate care with the member and healthcare team.
  • Manage members with chronic illnesses, co-morbidities, and disabilities to ensure cost-effective and efficient utilization of health benefits.
  • Obtain thorough and accurate member histories to develop individual care plans.
  • Establish short- and long-term goals in collaboration with the member, caregivers, family, natural supports, and physicians.
  • Develop and implement member care plans, ensuring access to necessary services.
  • Facilitate authorizations and referrals for services within benefits structures or through extra-contractual arrangements.
  • Interface with Medical Directors, Physician Advisors, and Inter-Disciplinary Teams on care management treatment plans.
  • Direct and/or supervise the work of non-RN clinicians, including assigning tasks, verifying member information, conducting additional assessments, and reviewing performance.

Requirements:

  • Current, unrestricted RN license in NY required.
  • Minimum 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.

Preferred Skills and Experiences:

  • Bachelor's in Health/Nursing preferred.
  • State-specified certification based on state law and/or contract may be required.

Compensation and Benefits:

Elevance Health offers a comprehensive benefits package, including a salary range of $86,511 - $129,767, depending on location and experience. The company is committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Work Environment:

Elevance Health operates in a Hybrid Workforce Strategy, requiring associates to work at an Elevance Health location at least once per week. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

Equal Employment Opportunity:

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.

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