LTSS Service Coordinator - Clinician

Elevance Health•Tampa, FL

4d•Hybrid

About The Position

The LTSS Service Coordinator-Clinician (bilingual in Spanish and English) works under the direction and supervision of an RN or Licensed Social Worker, with overall responsibility for the member’s case as required by applicable state law and contract. The role contributes to the LTSS care coordination process by performing activities within the scope of licensure, including assisting with telephonic or face-to-face assessments to identify, evaluate, coordinate, and manage members’ physical health, behavioral health, social service, and long-term services and supports needs. The coordinator assists the responsible RN or LSW with gathering clinical information and identifying members who may be at risk of complications or may benefit from an alternative level of care or other waiver programs. The RN or LSW verifies and interprets collected information, conducts additional assessments as needed, and develops, monitors, evaluates, and revises the member’s care plan. The coordinator also supports care coordination for members with chronic illnesses, co-morbidities, and/or disabilities, working with the responsible RN or LSW, the member, and the health care team to support efficient and cost-effective use of health benefits. Decisions are based on members’ current needs and require understanding disease processes, terminology, and clinical guidelines, but do not require nursing judgment. This is a field-based role for associates who reside in Florida and are open to traveling up to two hours away daily. The schedule is Monday through Friday, 8 a.m. to 5 p.m. Eastern Time. The role includes travel to client sites or designated locations as required and occasional office attendance for meetings or training.

Requirements

Bilingual in Spanish and English.
Current, unrestricted LPN/LVN, LSW, LCSW, LMHC, LMSW, or other non-RN license permitted by applicable state law.
Nursing diploma, associate degree in nursing, or a related field, and at least two years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or an equivalent combination of education and experience.
Must reside in Florida and be open to traveling up to two hours away daily.
Understanding of disease processes, clinical terminology, and the application of clinical guidelines.

Nice To Haves

MA/MS in Health or Nursing.
Relevant mental health training and/or experience.
Willingness to travel to the worksite and other locations as necessary.
State-specified certification, if required by state law and/or contract.

Responsibilities

Assist the responsible RN or LSW in identifying members at risk for high-risk complications.
Obtain clinical data as directed by the responsible RN or LSW.
Assist the responsible RN or LSW in identifying members who may benefit from an alternative level of care or other waiver programs.
Provide collected information to the responsible RN or LSW for verification, interpretation, additional assessment, and care-plan development and management.
Participate, as directed by the responsible RN or LSW, in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities.
Work with the responsible RN or LSW, the member, and the health care team to support efficient and cost-effective utilization of health benefits.
Assist with telephonic or face-to-face assessments and LTSS care coordination activities within the scope of licensure.