LTSS Service Coordinator – Clinician (LSW, LCSW, LPN) East and West TN

Elevance Health•Nashville, TN

13d•Hybrid

About The Position

The LTSS Service Coordinator – Clinician is responsible for a member’s case and contributes to the LTSS care coordination process, as required by applicable state law and contract, by performing activities within the scope of licensure. The clinician may assist the responsible RN 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. This is a field-based role involving travel to client sites or designated locations, with occasional office attendance for meetings or training. Candidates should be located in the listed service areas in East Tennessee, Middle Tennessee, or West Tennessee. Alternate locations may be considered when the candidate is within commuting distance of an office. Candidates outside a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted as required by law. The role supports the responsible RN, who verifies and interprets collected information, conducts additional assessments as needed, and develops, monitors, evaluates, and revises the member’s care plan. Decision-making is based on the member’s current needs and requires understanding disease processes, terminology, and clinical guidelines, but does not require nursing judgment.

Requirements

Current, unrestricted LPN/LVN, LSW, LCSW, LMSW, or other non-RN license as permitted by applicable state law is required.
Requires an LPN/LVN, LSW, LCSW, or LMSW or other non-RN license in accordance with applicable state law, and a Nursing Diploma or Associate of Science in Nursing or a related field, plus at least 2 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; an equivalent combination of education and experience may qualify.
Understanding of disease processes, terminology, and the application of clinical guidelines.

Nice To Haves

Case management experience with older adults or individuals with disabilities is strongly preferred.
BA/BS in Health or Nursing preferred.

Responsibilities

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