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Long-Term Services Support Coordinator
2 months ago
Position Overview
The LTSS Service Coordinator – RN Clinician plays a pivotal role in managing the care of members within their professional licensure. This position involves providing direction to non-RN clinicians engaged in the care process, ensuring compliance with state regulations and contractual obligations. The coordinator is responsible for developing, monitoring, assessing, and modifying the care plan tailored to the member's unique needs, with the goal of enhancing health outcomes across various stages of care.
Key Responsibilities:
- Conduct comprehensive clinical evaluations, either via phone or in-person, to determine and address the needs of members, encompassing physical health, mental well-being, social services, and long-term support.
- Identify members at risk for adverse health outcomes and collaborate with the healthcare team to coordinate appropriate care.
- Oversee the management of members with chronic conditions, co-existing health issues, and disabilities to promote effective use of healthcare benefits.
- Compile detailed member histories to facilitate personalized care planning.
- Set collaborative goals with members, their families, caregivers, and healthcare providers; identify members who may benefit from alternative care levels or waiver programs.
- Design care plans that ensure members have access to necessary services.
- Assist in executing care plans by coordinating authorizations and referrals for service utilization within the established benefits framework.
- Work closely with Medical Directors and Interdisciplinary Teams to develop and implement care management strategies.
- Support the resolution of provider, claims, or service-related issues.
- Supervise LPNs, LSWs, LCSWs, LMSWs, and other licensed professionals in the delivery of member services.
Minimum Qualifications:
- Registered Nurse (RN) with at least 3 years of experience working with individuals with chronic conditions, co-morbidities, or disabilities in a Service Coordination or Case Management capacity; or equivalent education and experience.
- Possession of a current, unrestricted RN license in the relevant state(s).
Preferred Qualifications:
- Master's degree in Health or Nursing is preferred.
- State-specific certification may be required in accordance with legal and contractual standards.
- Willingness to travel to various work sites as necessary.
Job Level:
Non-Management Non-Exempt
Job Family:
MED > Licensed Nurse
About Elevance Health:
Elevance Health is committed to improving lives and communities within the healthcare sector. As a Fortune 25 company with a deep-rooted history in the industry, we seek dedicated professionals who aspire to make a positive impact on our members' lives.
Our Work Culture:
At Elevance Health, we foster a culture that emphasizes strategic alignment and personal as well as professional development for our team members. Our core values guide our culture, helping us achieve our objectives and collective success.
We offer a range of competitive benefits, including merit increases, paid holidays, Paid Time Off, incentive programs, comprehensive medical, dental, and vision coverage, a 401(k) plan with matching contributions, stock purchase options, life insurance, wellness initiatives, and financial education resources.
Elevance Health adheres to a Hybrid Workforce Strategy, with most associates working at an Elevance Health location at least once a week. Candidates should reside within a reasonable commuting distance to an Elevance Health location.
New hires in certain patient/member-facing roles must comply with COVID-19 vaccination requirements. Adherence to all applicable laws is essential.
Elevance Health is an Equal Employment Opportunity employer, committed to providing equitable opportunities to all applicants.
