LTSS Service Coordinator Clinician (Virginia)

Elevance Health • Richmond, VA

1d • Hybrid

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 and helping identify, evaluate, coordinate, and manage member needs related to physical health, behavioral health, social services, and long-term services and supports.

This is a field-based position 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, or within commuting distance of an office. The clinician provides collected information to the RN, who verifies and interprets it, conducts further assessments as needed, and develops, monitors, evaluates, and revises the member’s care plan. Clinical decision-making is guided by member needs, disease processes, terminology, and clinical guidelines, and does not require nursing judgment.

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 an 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.
• May require state-specified certification based on state law and/or contract.
• Must reside in the specified Virginia locations or within a reasonable commuting distance from an office, unless an accommodation is granted as required by law.

Nice To Haves

• MA/MS in social work.
• Experience or ability to 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 for verification, interpretation, further assessment, and care-plan development and management.
• 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.
• Travel to client sites or designated locations as required, with occasional office attendance for meetings or training.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase plan.
• 401(k) contribution.
• Merit increases.
• Paid holidays.
• Paid Time Off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• Short- and long-term disability benefits.
• 401(k) match.
• Stock purchase plan.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree