LTSS Svc Coord-RN Clinician (US)

Elevance Health•New York, NY

9d•Onsite

About The Position

The LTSS Service Coordinator- RN Clinician manages members’ cases within the scope of RN licensure and supervises and directs non-RN clinicians participating in the member’s case, in accordance with applicable state law and contract requirements. The role develops, monitors, evaluates, and revises care plans to meet members’ needs and optimize their healthcare across the care continuum. It 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 field-based position serves the Brooklyn and Manhattan territory. The clinician travels to client sites or designated locations as needed, with occasional office attendance for meetings or training. Candidates must reside within a reasonable commuting distance of a posting location unless an accommodation is granted. The position may involve coordination with members, caregivers, family, natural supports, physicians, medical directors, physician advisors, interdisciplinary teams, providers, and other licensed clinicians. The position is non-management and non-exempt. The stated hourly salary range for New York is $43.66 to $54.58. Elevance Health describes a comprehensive benefits package, with eligibility requirements applicable to benefits and programs.

Requirements

High school diploma or equivalent and at least 3 years of experience working with individuals with chronic illnesses, comorbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; alternatively, an equivalent combination of education and experience.
Current, unrestricted RN license in applicable state(s).
May require state-specified certification based on state law and/or contract.
Must reside within a reasonable commuting distance of a posting location unless an accommodation is granted.
Travel to worksites and other locations as necessary.

Nice To Haves

Master of Arts or Master of Science degree in Health or Nursing.

Responsibilities

Identify members at risk of complications and coordinate care with members and the healthcare team.
Manage members with chronic illnesses, comorbidities, and/or disabilities to support cost-effective and efficient use of health benefits.
Obtain thorough and accurate member histories and develop individualized 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 access to those services.
As appropriate, facilitate authorizations and referrals to implement care plans within the benefits structure or through permissible extra-contractual arrangements.
Coordinate with Medical Directors, Physician Advisors, and interdisciplinary teams on care management treatment plans.
Assist with problem-solving provider, claims, or service issues.
Direct and/or supervise non-RN clinicians, including assigning tasks, verifying and interpreting member information they obtain, conducting additional assessments as necessary, and reviewing and providing input on their performance.
Travel to worksites and other locations as necessary.

Benefits

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