LTSS Svc Coord-RN Clinician (US)

Elevance Health•New York, NY

11d•$44 - $55•Hybrid

About The Position

The LTSS Service Coordinator RN Clinician manages members’ cases within the scope of RN licensure and may supervise and direct non-RN clinicians involved in member care, consistent with applicable state law and contracts. The clinician develops, monitors, evaluates, and revises care plans to meet members’ needs and optimize care across the continuum. The role includes conducting face-to-face clinical 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 serving Brooklyn and Manhattan. The role primarily involves travel to client sites or other designated locations, with occasional office attendance for meetings or training. Candidates must live within a reasonable commuting distance of a posting location unless an accommodation is granted as required by law. Travel to the worksite and other locations is necessary. The position requires a high school diploma or equivalent and at least three years of experience working with individuals with chronic illnesses, co-morbidities, or disabilities in service coordination, case management, or a similar role, or an equivalent combination of education and experience. A current, unrestricted RN license in applicable state(s) is required; state-specified certification may also be required. A master's degree in Health or Nursing is preferred. For candidates working in person or virtually in New York, the posted salary range is $43.66 to $54.58 per hour. Actual compensation may vary based on factors including location, experience, education, skills, and business considerations. Elevance Health offers a comprehensive benefits package and incentive and recognition programs, subject to eligibility requirements.

Requirements

High school diploma or equivalent, and at least three years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in service coordination, case management, or a similar role; or an equivalent combination of education and experience.
Current, unrestricted RN license in applicable state(s).
State-specified certification may be required based on state law and/or contract.
Ability to travel to the worksite and other locations as necessary.

Nice To Haves

Master's degree in Health or Nursing.

Responsibilities

Identify members at risk for complications and coordinate care with the member and health care team.
Manage members with chronic illnesses, co-morbidities, and/or disabilities to support cost-effective and efficient use of health benefits.
Obtain thorough and accurate member histories to develop individual care plans.
Establish short- and long-term goals with members, caregivers, family, natural supports, and physicians.
Identify members who may benefit from an alternative level of care or other waiver programs.
Develop the member's care plan for services and ensure the member's access to those services.
As appropriate, facilitate authorizations and referrals for services within the benefits structure or through permissible extra-contractual arrangements.
Coordinate with Medical Directors, Physician Advisors, and/or Inter-Disciplinary Teams on care management treatment plans.
Assist with problem-solving provider, claims, or service issues as needed.
Direct and/or supervise non-RN clinicians, including LPN/LVNs and social work professionals, by assigning tasks, verifying and interpreting member information, conducting additional assessments as needed, and reviewing and providing input on their performance.
Travel to member/client sites, the worksite, and other locations as necessary.