LTSS Service Coordinator - RN Clinician (Marion County)

LTSS Service Coordinator – RN Clinician (Marion County) Location: Marion County Schedule: Monday‑Friday 8am‑5pm EST Responsibilities Perform telephonic or face‑to‑face clinical assessments for identification, evaluation, coordination, and management of member’s needs, including physical health, behavioral health, social services and long‑term services and supports. Identify members at risk for complications and coordinate care in conjunction with the member and the 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 an individualized care plan. Establish short and long‑term goals in collaboration with the member, caregivers, family, natural supports, and physicians; identify members who would benefit from an alternative level of care or other waiver programs. Develop the care plan for services for the member and ensure the member’s access to those services. Assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within the benefits structure or through extra‑contractual arrangements, as permissible. Interface with Medical Directors, Physician Advisors, and interdisciplinary teams on the development of care management treatment plans. 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, assigning tasks, verifying and interpreting member information, conducting additional assessments, and reviewing and providing input on non‑RN clinicians’ performance on a regular basis. Qualifications High school diploma or GED equivalent and a minimum of 3 years of experience in working with individuals with chronic illnesses, comorbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role (or any combination of education and experience that provides an equivalent background). Current, active, valid and unrestricted RN license in Indiana state. BA/BS in Health/Nursing preferred. Strong preference for case management experience with older adults or individuals with disabilities. Equal Employment Opportunity 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 should submit the Accessibility Accommodation Request Form. #J-18808-Ljbffr The Elevance Health Companies, Inc.