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Join a forward-thinking organization as an LTSS Service Coordinator-Clinician, where your expertise will directly impact the lives of members with chronic illnesses. This role emphasizes collaboration with RNs to assess and coordinate care effectively. You will play a vital part in identifying high-risk members and ensuring they receive the appropriate support and services. With a focus on member needs and care plan development, you will thrive in a dynamic environment that values your contributions. Enjoy the flexibility of a remote position with travel to local counties, and be part of a team that prioritizes health and well-being.
Location: This is a field based position. Candidate would work remotely and travel 2 - 3 times a week to visit members in Passaic/Bergen counties.
The LTSS Service Coordinator-Clinician is responsible for working under the direction/supervision of an RN, with overall responsibility for the member's case. As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.
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.
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.
May require state-specified certification based on state law and/or contract.
Preferred Skills, Capabilities and Experiences:
MA/MS in Health/Nursing preferred.
Travels to worksite and other locations as necessary.
For candidates working in person or remotely in the below locations, the salary range for this specific position is $70,397 - $105,583.
Location: Iselin, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements