LTSS Service Coordinator - RN Clinician (Harrison County, IN)

Elevance Health•Indianapolis, IN

13h•Hybrid

About The Position

The LTSS Service Coordinator - RN Clinician is responsible for the overall management of a member's case within the scope of their licensure. This role involves providing direction and oversight to non-RN clinicians, developing, monitoring, evaluating, and revising care plans to meet member needs, with the goal of optimizing healthcare across the care continuum. The position requires performing telephonic or face-to-face clinical assessments to identify, evaluate, coordinate, and manage member needs, including physical health, behavioral health, social services, and long-term services and supports. This is a field-based role requiring travel to client sites or designated locations, with occasional office attendance. Candidates must reside in Harrison County, IN, or within a reasonable commuting distance.

Requirements

HS diploma or equivalent.
Minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience which would provide an equivalent background.
Current, active, valid, and unrestricted RN license in applicable state(s) required.
Must reside in Harrison County, IN, or within a reasonable commuting distance.

Nice To Haves

Associates/MA/MS in Health/Nursing preferred.
Travels to worksite and other locations as necessary.

Responsibilities

Overall management of member's case within the scope of licensure.
Provide direction and oversight to non-RN clinicians participating in the member's case.
Develop, monitor, evaluate, and revise the member's care plan to meet the member's needs.
Perform telephonic or face-to-face clinical assessments for identification, evaluation, coordination, and management of member's needs.
Identify members for high-risk complications and coordinate care with the member and healthcare team.
Manage members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits.
Obtain a thorough and accurate member history to develop an individual care plan.
Establish short and long-term goals in collaboration with the member, caregivers, family, natural supports, and physicians.
Identify members who would benefit from an alternative level of care or other waiver programs.
Facilitate authorizations/referrals for utilization of services, as appropriate.
Interface with Medical Directors, Physician Advisors, and/or Inter-Disciplinary Teams on care management treatment plans.
Assist in problem-solving with providers, claims, or service issues.
Assign appropriate tasks to non-RN clinicians, verify and interpret member information obtained by these individuals, conduct additional assessments as necessary, and review and provide input on non-RN clinicians' performance.