LTSS Service Coordinator – Clinician (LSW, LCSW, LPN) Eastern Ohio

About the role

The LTSS Service Coordinator–Clinician is responsible for the member's case and contributes to the LTSS care coordination process by performing activities within the scope of licensure, including telephonic or face-to-face assessments for the identification, evaluation, coordination, and management of members' physical health, behavioral health, social services, and long-term services and supports. The MyCare Ohio health plan delivers high-quality, trauma-informed, culturally competent, person-centered coordination addressing physical health, behavioral health, long-term services and supports, and psychosocial needs.

This is a field-based role; associates primarily operate in the field, traveling to client sites or designated locations as required, with occasional office attendance for meetings or training. Candidates must be located in one of the following Ohio counties: Ashtabula, Columbiana, Mahoning, Richland, Marion, Franklin, Seneca, Stark, or Alliance. Per company policy, candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted as required by law.

Responsibilities

• Assists in identifying members for high risk complications.
• Obtains clinical data.
• Assists in identifying members that would benefit from an alternative level of care or other waiver programs.
• Provides all information collected to the RN, who verifies and interprets the information, conducts additional assessments as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.
• Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by the responsible RN, and in conjunction with the RN, member, and the health care team, to ensure cost-effective and efficient utilization of health benefits.
• Decision-making skills based upon the current needs of the member, requiring an understanding of disease processes and terminology and the application of clinical guidelines but not requiring nursing judgment.

Requirements

• Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law.
• Nursing