Field LTSS Clinician — Care Coordination Pro

Elevance Health, Inc.

Johnson City (TN)

Hybrid

USD 55,000 - 75,000

Full time

14 days+

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Job summary

Elevance Health, a Fortune 25 health company, is seeking a LTSS Service Coordinator-Clincian to operate primarily in the field, traveling to client sites with occasional office attendance for meetings or training. This role supports the LTSS care coordination process under licensure, assisting RNs with assessments and coordinate care for members with chronic illnesses.

The position requires licensure (LPN/LVN, LSW, LCSW or LMSW or equivalent), and at least 2 years of experience with individuals

Qualifications

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; or any combination of education and experience, which would provide an equivalent background.
Current, unrestricted LPN/LVN, LSW, LCSW, LMSW or license other than RN (as allowed by state law) in applicable state(s) required.

Responsibilities

Assists in identifying members for high risk complications. Obtains clinical data as directed.
Assists in identifying members that would benefit from an alternative level of care or other waiver programs.
Provides all information collected to the responsible RN, who verifies and interprets the information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.
Participates in coordinating care for members with chronic illnesses, co‑morbidities, and/or disabilities as directed by responsible RN, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits.
Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.