LTSS Service Coordinator - Clinician

Elevance Health•Miami, FL

3d•Hybrid

About The Position

The LTSS Service Coordinator-Clinician works under the direction and supervision of an RN or Licensed Social Worker, who has overall responsibility for the member’s case as required by applicable state law and contract. Within the scope of licensure, the coordinator contributes to the LTSS care coordination process by assisting 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 for a Spanish/English bilingual clinician who must reside in Florida and be open to daily travel of up to two hours. The role’s stated schedule is Monday through Friday, 8 a.m. to 5 p.m. EST. Field associates travel to client sites or designated locations, with occasional office attendance for meetings or training. Associates may also be required to work at an Elevance Health location at least once per week, with specific onsite expectations discussed during hiring.

Requirements

Bilingual in Spanish and English.
Must reside in Florida and be open to traveling up to two hours away daily.
An LSW, LCSW, LMHC, LMSW, or other license besides RN in accordance with applicable state law.
A Nursing Diploma or associate degree in Nursing or a related field.
At least two 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 LSW, LCSW, LMHC, LMSW, or other non-RN license, as allowed by state law, in applicable state(s).
Decision-making requires understanding disease processes and terminology and applying clinical guidelines; nursing judgment is not required.

Nice To Haves

MA/MS in Health or Nursing.
State-specified certification based on state law and/or contract.
Travel to the worksite and other locations as necessary.

Responsibilities

Assist the responsible RN or LSW in identifying members at risk of high-risk complications.
Obtain clinical data as directed by the responsible RN or LSW.
Assist the responsible RN or LSW in identifying members who may benefit from an alternative level of care or other waiver programs.
Provide collected information to the responsible RN or LSW, who verifies and interprets it, conducts additional assessments as needed, and develops, monitors, evaluates, and revises the member’s care plan.
Participate, as directed by the responsible RN or LSW, in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities.
Work with the RN or LSW, member, and health care team to support cost-effective and efficient use of health benefits.