LTSS Service Coordinator-Clinician (Indianapolis, IN)

Elevance Health•Indianapolis, IN

1d•Hybrid

About The Position

The LTSS Service Coordinator-Clinician, working under the direction/supervision of an RN or LSW, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN/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. This is a field-based role enabling 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Requirements

Requires an LSW, LCSW, 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-morbidities, 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, LMSW or license other than RN (as allowed by state law) in applicable state(s) required.

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/LSW in identifying members for high risk complications.
Obtains clinical data as directed by the responsible RN/LSW.
Assists the responsible RN/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/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, and in conjunction with the RN/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.