LTSS Service Coordinator - Clinician

Elevance Health•Miami, FL

8d•Hybrid

About The Position

The LTSS Service Coordinator-Clinician (Bilingual in Spanish/English) is a field-based role that enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The LTSS Service Coordinator - Clinician is responsible for working under the direction/supervision of an RN or a Licensed Social Worker, with overall responsibility for the member's case, as required by applicable state law and contract. They contribute to the LTSS care coordination process by performing activities within the scope of licensure, including assisting the responsible RN or LSW 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.

Requirements

Requires an LSW, LCSW, LMHC, 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-comorbidities, 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 LSW, LCSW, LMHC LMSW or license other than RN (as allowed by state law) in applicable state(s) required.
Must reside in the state of Florida and be open to travel up to 2 hours away daily.

Nice To Haves

MA/MS in Health/Nursing preferred.
May require state-specified certification based on state law and/or contract preferred.
Travels to worksite and other locations as necessary preferred.

Responsibilities

Assists responsible RN or LSW in identifying members for high risk complications
Obtains clinical data as directed by the responsible RN/LSW.
Assists the responsible RN or LSW in identifying members that would benefit from an alternative level of care or other waiver programs.
Provides all information collected to the responsible RN or LSW, 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/LSW, and in conjunction with the RN or LSW, 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.