LTSS Service Coordinator - RN Clinician (Harrison County, IN)

Elevance Health (Anthem); Indianapolis (IN); Hybrid; USD 70,000 - 95,000; Full time

Job summary

Elevance Health in Harrison County, IN seeks an LTSS Service Coordinator - RN Clinician to manage members' care across health, behavioral health, and long-term services. You will assess, plan, coordinate, and monitor care plans within licensure and contract requirements, guiding non-RN clinicians to implement services.

You will travel to member sites, collaborate with physicians and care teams, and help optimize health outcomes while ensuring cost-effective utilization of benefits.

Qualifications

• HS diploma or equivalent is required.
• Current, active RN license in applicable state is required.
• Minimum of 3 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a service coordination or related role.

Responsibilities

• Assess and coordinate member care across physical health, behavioral health, and social services.
• Develop, monitor, and revise member care plans within licensure and contract requirements.
• Provide direction and oversight to non-RN clinicians participating in the member's case.
• Coordinate authorizations/referrals for utilization of services as appropriate.
• Interface with Medical Directors, Physician Advisors and Inter-Disciplinary Teams on care management plans.

Skills

RN license

Case management

Field travel

Education

HS diploma or equivalent

Associates/MA/MS in Health/Nursing preferred

Job description

LTSS Service Coordinator - RN Clinician (Harrison County, IN)

The candidate should reside in Harrison County, IN.

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The LTSS Service Coordinator - RN Clinician is responsible for overall management of member's case within the scope of licensure. Provide direction and oversight 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 telephonic or 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 insure 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.
• Provide direction and oversight to 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

• HS diploma or equivalent.
• 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, active valid and 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

• Associates/MA/MS in Health/Nursing preferred.
• Travels to worksite and other locations as necessary.

Job Level

Non-Management Non-Exempt

Job Family

MED > Licensed Nurse

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communiti