Long-Term Services Support RN

1 week ago


Roanoke, Virginia, United States Elevance Health Full time

Position Title:
LTSS Service Coordinator - RN Clinician

Job Overview:
This role is a field-based position requiring the candidate to manage cases effectively within the designated regions. The LTSS Service Coordinator RN Clinician is tasked with the comprehensive oversight of member cases, ensuring adherence to licensure requirements while providing guidance to non-RN clinicians involved in the care process.

Key Responsibilities:
- Develop, monitor, and adjust care plans tailored to meet individual member needs, aiming to enhance overall health outcomes across various care settings.
- Conduct face-to-face clinical evaluations to assess and coordinate the physical, behavioral, and social service needs of members.

Impact on Member Care:
- Identify members at risk for complications and facilitate coordinated care with the healthcare team.
- Manage cases involving chronic conditions and disabilities to promote efficient use of healthcare resources.
- Gather comprehensive member histories to create personalized care plans.
- Collaborate with members, families, and healthcare providers to establish both short-term and long-term health goals.
- Ensure that members have access to necessary services and support.

Additional Duties:
- Assist in implementing care plans by coordinating authorizations and referrals as needed.
- Work closely with Medical Directors and interdisciplinary teams to develop effective treatment strategies.
- Supervise and guide the activities of LPNs, LSWs, and other licensed professionals in the care coordination process.

Qualifications:
- Must possess an RN license and have a minimum of three years of experience in case management or a related field, particularly with individuals facing chronic health challenges.
- A Master’s degree in Health or Nursing is preferred.

Work Environment:
- Elevance Health promotes a hybrid work model, requiring regular attendance at company locations as part of the role.

Company Overview:
Elevance Health is committed to enhancing the health and well-being of our members and communities. We value a culture that fosters professional growth and is dedicated to achieving positive outcomes for our associates and the populations we serve.
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