LTSS Service Coordinator-RN Clinician

About the role

The LTSS Service Coordinator- RN Clinician is responsible for managing member cases, providing supervision to non-RN clinicians, and developing, monitoring, evaluating, and revising care plans to meet member needs.

Responsibilities

• Identifies members for high-risk complications and coordinates care.
• Manages members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits.
• Develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.
• Performs face-to-face clinical assessments for the identification, evaluation, coordination, and management of member's needs.
• Coordinates services for the member by assigning appropriate tasks to non-RN clinicians, verifying and interpreting member information, conducting additional assessments, and reviewing and providing input on the non-RN clinicians' performance.
• Interfaces with Medical Directors, Physician Advisors, and/or Inter-Disciplinary Teams on the development of care management treatment plans.
• Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN.

Requirements

• Requires an RN and 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.
• Current, unrestricted RN license in applicable state(s) required.
• May require state-specified certification based on state law and/or contract.

Qualifications

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

Skills

• Ability to identify and manage high-risk members.
• Experience in chronic illness management.
• Knowledge of care management and coordination.
• Ability to develop and implement care plans.
• Interpersonal skills to interface with various healthcare professionals.

Benefits

Elevance Health offers a comprehensive benefits package, including a 401(k) match, stock purchase plan, and incentives. Other benefits include medical, dental, vision, short and long-term disability, and life insurance.

Pay

The salary range for this specific position is $41.84/hr to $62.76/hr. Actual compensation may vary based on location, work experience, education, and skill level.

Schedule

Location(s): New Jersey. Associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.