Field LTSS Clinician & Care Coordinator

Elevance Health; Indianapolis (IN); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Elevance Health seeks an LTSS Service Coordinator Clinician to support Indiana members by coordinating long-term services and supports under the supervision of an RN. The position focuses on identifying needs, coordinating care across physical and behavioral health, and ensuring alignment with applicable state laws and contracts.

The role involves field visits to member sites, collaboration with care teams, and documentation to optimize care plans.

Qualifications

• 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.
• 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.
• May require state-specified certification based on state law and/or contract.

Responsibilities

• Assists responsible RN in identifying members for high risk complications.
• Obtains clinical data as directed by the responsible RN.
• Assists the responsible RN 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.

Job description

Elevance Health seeks an LTSS Service Coordinator Clinician to support Indiana members by coordinating long-term services and supports under the supervision of an RN. The position focuses on identifying needs, coordinating care across physical and behavioral health, and ensuring alignment with applicable state laws and contracts.

The role involves field visits to member sites, collaboration with care teams, and documentation to optimize care plans.