LTSS Service Coordinator Clinician (Virginia)

Elevance Health•Colonial Heights, VA

2d•$29 - $53•Onsite

About The Position

The LTSS Service Coordinator Clinician works under the direction and supervision of an RN, who retains overall responsibility for the member's case as required by applicable state law and contract. The clinician contributes to the LTSS care coordination process by performing activities within the scope of their license, including helping 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 position primarily involving travel to client sites or designated locations, with occasional office attendance for meetings or training. Candidates should reside in Richmond City, Henrico, Hanover, Essex, King William, Petersburg, or Westmoreland, Virginia. Alternate locations may be considered when the candidate lives within commuting distance of an office. Candidates outside a reasonable commuting distance from the posting locations will not be considered unless an accommodation is granted as required by law.

Requirements

LPN/LVN, LSW, LCSW, LMSW, or another non-RN license in accordance with applicable state law, and a nursing diploma or associate degree in nursing or a related field.
At least 2 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.
Current, unrestricted LPN/LVN, LSW, LCSW, LMSW, or other non-RN license permitted by state law in the applicable state(s).
May require state-specified certification based on state law and/or contract.

Nice To Haves

MA/MS in social work.
Travel to the worksite and other locations as necessary.

Responsibilities

Assist the responsible RN in identifying members at risk for high-risk complications.
Obtain clinical data as directed by the responsible RN.
Assist the responsible RN in identifying members who may benefit from an alternative level of care or other waiver programs.
Provide collected information to the responsible RN, who verifies and interprets it, conducts additional assessments as necessary, and develops, monitors, evaluates, and revises the member's care plan.
Participate in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities, as directed by the responsible RN and in conjunction with the RN, member, and health care team, to support cost-effective and efficient use of health benefits.
Make decisions based on members' current needs, applying understanding of disease processes, terminology, and clinical guidelines without exercising nursing judgment.