LTSS Svc Coord-Clinician

Elevance Health (Anthem); Tennessee; Hybrid; USD 65,000 - 90,000; Full time

Job summary

Elevance Health in Nashville, TN is seeking a LTSS Service Coord-Clinician. The position works under an RN with responsibility for the member's case, coordinating care across physical health, behavioral health, and long-term supports.

Hybrid role requires in-office presence 1–2 days weekly. Licensure in state and 2+ years of relevant experience are required, with potential accommodations for distance. Fortified by Elevance Health's mission and rewards.

Qualifications

• Requires LPN/LVN, LSW, LCSW, LMSW or RN-eligible license per state law.
• Minimum 2 years' experience with individuals with chronic illnesses, co-morbidities, or disabilities.

Responsibilities

• Assists RN in identifying members for high risk complications and gathers clinical data as directed.
• Helps identify members who may need an alternative level of care or waiver programs.
• Provides collected information to the RN for verification, interpretation, and plan modification.
• Coordinates care for members with chronic illnesses with the health care team to ensure efficient utilization of benefits.
• Salary and care plans are developed under RN oversight to meet member needs.

Job description

Anticipated End Date: 2027-01-31

Position Title: LTSS Svc Coord-Clinician

Job Description: This position is open to candidates located in Nashville and surrounding areas.

Hybrid 1 :

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

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-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.

How you will make an impact:

• 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.

Minimum Requirements:

• 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.

Preferred Skills, Capabilities and Experiences:

• Strong preference for case management experience with older adults or individuals with disabilities.
• BA/BS in Health/Nursing preferred.

Job Level:

Non-Management Non-Exempt

Job Family:

MED > Licensed/Certified - Other

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 communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associate