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Registered Nurse Service Liaison
2 months ago
Position Title:
LTSS Service Coordinator - RN Clinician
Job Overview:
This role involves fieldwork, and candidates should be based in the designated service areas.
The LTSS Service Coordinator RN Clinician is tasked with the comprehensive oversight of a member's case within the boundaries of their licensure. This includes providing guidance and support to non-RN clinicians involved in the member's care, in compliance with relevant state regulations and contractual obligations. The coordinator is responsible for developing, monitoring, assessing, and adjusting the member's care plan to ensure it aligns with their needs, aiming to enhance the member's healthcare experience throughout the care continuum.
Key Responsibilities:
- Identify members at risk for complications and facilitate coordinated care with the member and healthcare team.
- Manage individuals with chronic conditions, co-morbidities, and disabilities to ensure effective and efficient use of health benefits.
- Conduct thorough assessments to gather comprehensive member histories for individualized care planning.
- Collaborate with members, caregivers, and healthcare providers to establish both short-term and long-term care goals.
- Ensure that members have access to necessary services as outlined in their care plans.
- Assist in the execution of care plans by facilitating necessary authorizations and referrals within the benefits framework.
- Collaborate with Medical Directors and Inter-Disciplinary Teams to create effective care management strategies.
- Supervise the activities of LPNs, LSWs, LCSWs, LMSWs, and other licensed professionals, ensuring appropriate task delegation and performance evaluation.
Minimum Qualifications:
- Must possess an RN license and have at least three years of experience working with individuals facing chronic illnesses, co-morbidities, or disabilities in roles such as Service Coordinator or Case Manager, or possess equivalent education and experience.
- A current, unrestricted RN license in the applicable state(s) is mandatory. Additional state-specific certifications may be required based on regulations.
Preferred Qualifications:
- A Master's degree in Health or Nursing is preferred. Willingness to travel to various work sites as necessary.
Job Level:
Non-Management Non-Exempt
Work Environment:
Job Family: MED > Licensed Nurse
Company Overview:
Elevance Health is committed to enhancing lives and communities by simplifying healthcare. As a Fortune 25 organization with a rich history in the healthcare sector, we seek passionate leaders at all levels who are dedicated to making a positive impact on our members and the communities we serve.
Our Culture:
At Elevance Health, we are fostering a culture that not only supports our strategic goals but also promotes personal and professional growth for our associates. Our core values and behaviors are fundamental to our culture, driving our business outcomes and shared success.
Benefits:
We offer a competitive range of total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. Additional benefits include medical, dental, vision, short and long-term disability coverage, a 401(k) plan with matching contributions, stock purchase options, life insurance, wellness initiatives, and financial education resources.
Workplace Flexibility:
Elevance Health employs a Hybrid Workforce Strategy. Associates are generally required to work at an Elevance Health location at least once a week, with specific onsite requirements discussed during the hiring process. Candidates must reside within a reasonable commuting distance of an Elevance Health location.
Health and Safety:
The health of our associates and communities is paramount. New hires in certain patient-facing roles must be vaccinated against COVID-19, with exceptions made for valid reasons. Elevance Health adheres to all applicable federal, state, and local laws regarding health and safety.
Diversity and Inclusion:
Elevance Health is an Equal Employment Opportunity employer. All qualified applicants will be considered for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender identity, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other protected status.
