About The Position

The LTSS Service Coordinator Clinician works under the direction and supervision of an RN, who has overall responsibility for the member’s case as required by applicable state law and contract. Within the scope of licensure, the clinician contributes to LTSS care coordination by assisting 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 support needs. The role involves coordination for members with chronic illnesses, co-morbidities, and/or disabilities, in collaboration with the RN, member, and health care team. Decisions are based on current member needs and require understanding disease processes, terminology, and clinical guidelines, but do not require nursing judgment. This is a field-based position serving Elkhart, Kosciusko, and Marshall Counties in Indiana. The candidate should reside in one of the listed counties. The role requires travel to client sites or designated locations as needed, with occasional office attendance for meetings or training. Alternate locations may be considered if the candidate lives within commuting distance of an office. Elevance Health’s hybrid workforce policy also requires associates to work at an Elevance Health location at least once per week unless the role is specified as primarily virtual; onsite expectations are discussed during hiring.

Requirements

  • Current, unrestricted LPN/LVN, LSW, LCSW, LMSW, or other non-RN license permitted by applicable state law in the applicable state(s).
  • 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.
  • State-specified certification may be required based on state law and/or contract.
  • Candidate should reside in Elkhart County, Kosciusko County, or Marshall County, Indiana.
  • Ability to travel to client sites or designated locations as required by the field-based role.

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 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, performs 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.
  • Work with the RN, member, and health care team to support cost-effective and efficient utilization of health benefits.
  • Assist with telephonic or face-to-face assessments and care coordination within the scope of licensure.

Benefits

  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs, unless covered by a collective bargaining agreement
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Short-term disability benefits
  • Long-term disability benefits
  • 401(k) with match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
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