LTSS Service Coordinator Clinician
4 weeks ago
The LTSS Service Coordinator Clinician will contribute to the LTSS care coordination process by performing activities within the scope of licensure. This includes assisting the responsible RN with telephonic assessments for the identification, evaluation, coordination, and management of member needs. The ideal candidate will have experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role.
Key Responsibilities:
- Identify members for high-risk complications and obtain clinical data.
- Identify members that would benefit from an alternative level of care or other waiver programs.
- Verify and interpret information, conduct additional assessments as necessary, and develop, monitor, evaluate, and revise the member's care plan to meet the member's needs.
- Participate in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities, and in conjunction with the RN, member, and the healthcare team, to ensure cost-effective and efficient utilization of health benefits.
- 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.
- 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.
- 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.
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RN Clinician
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LTSS Service Coordinator Clinician
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