LTSS Svc Coord-Clinician

Elevance Health•Nashville, TN

14d•Hybrid

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 LTSS care coordination by performing activities within the scope of licensure. These activities may include 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 supports needs. The role assists the RN in identifying members at risk of complications and members who may benefit from an alternative level of care or other waiver programs. The Clinician gathers clinical data and provides collected information to the responsible RN, who verifies and interprets it, conducts further assessments as needed, and develops, monitors, evaluates, and revises the member's care plan. The Clinician also participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities. Decisions are based on members' current needs and require understanding disease processes, terminology, and clinical guidelines, but do not require nursing judgment. This position is open to candidates in Nashville and surrounding areas. It follows a Hybrid 1 arrangement, requiring associates to work in-office one to two days per week. Candidates must live within a reasonable commuting distance of the posting location unless an accommodation is granted as required by law.

Requirements

An LPN/LVN, LSW, LCSW, LMSW, or other license than RN as allowed by applicable state law.
A Nursing Diploma or Associate of Science in Nursing or a related field, or an equivalent combination of education and experience.
At least 2 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role.
Current, unrestricted LPN/LVN, LSW, LCSW, LMSW, or other non-RN license, as allowed by state law, in the applicable state(s).
Understanding of disease processes and terminology and the ability to apply clinical guidelines.

Nice To Haves

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

Responsibilities

Assist the responsible RN in identifying members at risk for high-risk complications and obtain clinical data as directed.
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 for verification, interpretation, further assessment as needed, and development, monitoring, evaluation, and revision of 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 within the scope of licensure to identify, evaluate, coordinate, and manage members' needs.