LTSS Service Coordinator-RN Clinician

LTSS Service Coordinator – RN Clinician Location: This field‑based role enables associates to primarily operate in the field, traveling to client sites or designated locations as required, with occasional office attendance for meetings or training. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance will not be considered unless an accommodation is granted as required by law. The LTSS Service Coordinator RN Clinician is responsible for overall management of a member’s case within the scope of licensure; provides supervision and direction to non‑RN clinicians. 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 continuum. Conduct face‑to‑face clinical assessments to identify, evaluate, coordinate, and manage member needs including physical health, behavioral health, social services, and long‑term services and supports. Identify members for high‑risk complications and coordinate care in conjunction with the member and health care team. Manage members with chronic illnesses, comorbidities, and/or disabilities to ensure cost‑effective and efficient utilization of health benefits. Obtain a thorough and accurate member history to develop individualized care plans. Establish short‑ and long‑term goals in collaboration with the member, caregivers, family, natural supports, physicians, and other stakeholders. Facilitate authorizations/referrals for utilization of services and, when appropriate, authorize additional arrangements within the benefits structure. Interface with Medical Directors, Physician Advisors, and interdisciplinary teams to develop care management treatment plans. Assist in problem‑solving with providers, claims, or service issues. Direct and supervise the work of LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals assigned to the member to coordinate services. Minimum Requirements Registered Nurse (RN) licensure in applicable state(s); current and unrestricted. Minimum of 3 years experience working with individuals with chronic illnesses, comorbidities, and/or disabilities in a service coordinator, case management, or similar role, or equivalent education and experience. May require state‑specified certification based on state law and/or contract. Preferred Skills, Knowledge, and Experience Master’s or advanced degree (MA/MS) in Health/Nursing. Willingness to travel to worksite and other locations as necessary. 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. Applicants who require accommodation to participate in the job application process may contact View email address on click.appcast.io for assistance. #J-18808-Ljbffr