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

About the role

Field-based LTSS Service Coordinator - RN Clinician role requiring residence in Lake County, IN (or reasonable commuting distance). Primary work in the field traveling to client sites, with occasional office attendance for meetings/training. Responsible for overall management of member's case within scope of licensure, developing, monitoring, evaluating, and revising care plans, performing telephonic or face-to-face clinical assessments, coordinating physical health, behavioral health, social services, and long-term services and supports. The role includes identifying high‑risk members, managing chronic illnesses/comorbidities/disabilities, obtaining member histories, establishing short‑ and long‑term goals, interfacing with medical directors and interdisciplinary teams, providing direction and oversight to non‑RN clinicians (LPN/LVN, LSW, LCSW, LMSW, etc.), and assisting with authorizations/referrals for services. The position follows Elevance Health’s Hybrid Workforce Strategy (at least one day per week onsite unless otherwise specified) and requires COVID‑19 and Influenza vaccination for new hires in patient/member‑facing roles.

Responsibilities

• Identify members for high‑risk complications and coordinate care with member and health‑care team.
• Manage members with chronic illnesses, co‑morbidities, and/or disabilities to ensure cost‑effective and efficient use of health benefits.
• Obtain thorough and accurate member history to develop individual care plans.
• Establish short and long term goals in collaboration with member, caregivers, family, natural supports, physicians.
• Identify members who would benefit from alternative level of care or waiver programs.
• Develop the care plan for services and ensure member access to those services.
• Assist with implementation of care plans by facilitating authorizations/referrals for services within benefits structure or through extra‑contractual arrangements as permissible.
• 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.
• Provide direction and oversight to LPN/LVN, LSW, LCSW, LMSW, and other licensed non‑RN clinicians: assign tasks, verify/interpret information, conduct additional assessments as needed, review and provide input on performance regularly.

Requirements

• High school diploma or equivalent.
• Minimum of 3 years of experience working with individuals with chronic illnesses, co‑morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role (or equivalent combination of education and experience).
• Current, active, valid, and unrestricted RN license in the applicable state(s).
• May require state‑specific certification based on state law and/or contract.

Qualifications

• Associate’s, Bachelor’s, Master’s degree in Health/Nursing preferred.

Skills

• Willingness to travel to worksite and other locations as necessary.
• Ability to work in a field‑based role with occasional office attendance.
• Strong clinical assessment, care‑planning, and coordination skills.
• Ability to provide direction and oversight to non‑RN clinicians.
• Effective communication and collaboration with interdisciplinary teams, members, families, and providers.

Benefits

• Market‑competitive total rewards including merit increases, paid holidays, Paid Time Off, and incentive bonus programs.
• Medical, dental, and vision coverage.
• Short‑ and long‑term disability benefits.
• 401(k) with company match.
• Stock purchase plan.
• Life insurance.
• Wellness programs and financial education resources.