LTSS Service Coordinator RN Clinician

RNNation; New York (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated LTSS Service Coordinator RN Clinician to manage member care effectively. This role involves overseeing case management for individuals with chronic illnesses, ensuring they receive the necessary support and services. You will collaborate with healthcare teams to develop personalized care plans, conduct clinical assessments, and supervise non-RN clinicians. This position offers a unique opportunity to make a significant impact on member health outcomes while working within a supportive and innovative environment. Join a team that values your expertise and is committed to enhancing healthcare experiences for all.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Equity stock purchase

Qualifications

• Requires RN with 3+ years in chronic illness management or similar role.
• Current RN license in applicable state required.

Responsibilities

• Manage member cases, ensuring effective healthcare coordination.
• Develop and monitor care plans to meet members' needs.

Skills

Case Management

Chronic Illness Management

Care Coordination

Clinical Assessments

Team Collaboration

Education

RN License

MA/MS in Health/Nursing

Job description

Location:This is a field position and the candidate must reside in the NY Metro area.

The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Responsible for performing face-to-face clinical 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.

How you will make an impact:

• Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team.
• Manages members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of health benefits.
• Obtains a thorough and accurate member history to develop an individual care plan.
• Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs.
• The RN has overall responsibility to develop the care plan for services for the member and ensures the member's access to those services.
• May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through extra-contractual arrangements, as permissible.
• Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans.
• May also assist in problem solving with providers, claims or service issues.
• Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians' performance on a regular basis.

Minimum Requirements:

• Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.
• Current, unrestricted RN license in applicable state(s) required.
• May require state-specified certification based on state law and/or contract.

Preferred Skills, Knowledge, and Experience:

• 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 $40.52/hr to $60.78/hr.

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).

Job Level:

Non-Management Non-Exempt

Anticipated End Date:

2025-07-31

Position Title:

LTSS Service Coordinator RN Clinician

Who We Are:

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work:

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.