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Elevance Health

Sells health insurance and pharmacy benefits

LTSS Service Coordinator

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeOhio, USAIn-person

About the Job

Requirements

  • Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law, and a Nursing Diploma or Associate of Science in Nursing or a related field, plus a minimum of 2 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; equivalent combinations of education and experience may qualify.
  • A current, unrestricted LPN/LVN, LSW, LCSW, LMSW, or other license than RN, as allowed by state law, in applicable state(s) is required.
  • Candidates should be located in one of the listed Ohio counties.

Responsibilities

  • Assist in identifying members for high-risk complications and obtain clinical data.
  • Assist in identifying members who may benefit from an alternative level of care or other waiver programs.
  • Provide collected information to the RN, who verifies and interprets it, conducts additional assessments as necessary, and develops, monitors, evaluates, and revises the member's care plan.
  • Participate 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 health care team, to ensure cost-effective and efficient utilization of health benefits.
  • Use decision-making skills based on members' current needs, understanding disease processes and terminology, and applying clinical guidelines; nursing judgment is not required.
  • Perform activities within the scope of licensure, including telephonic or face-to-face assessments to identify, evaluate, coordinate, and manage members' physical health, behavioral health, social services, long-term services and supports, and psychosocial needs.
  • Travel to client sites or designated locations as required, with occasional office attendance for meetings or training.

Desired Qualifications

  • Strong preference for case management experience with older adults or individuals with disabilities.
  • A bachelor's degree in Health or Nursing is preferred.

About the Company

Elevance Health

Sells health insurance and pharmacy benefits

Elevance Health is one of the largest U.S. health insurers, covering people through employers, individual plans, Medicare and Medicaid. It is the Blue Cross Blue Shield licensee in 14 states, where it sells plans under the Anthem name, and it runs government plans under the Wellpoint name in other markets. Its Carelon division runs the CarelonRx pharmacy benefit manager and sells behavioral health, care management and other services to its own plans and outside clients. Elevance earns most of its revenue from premiums paid by employers, members and government programs, plus fees for Carelon services. The company is headquartered in Indianapolis, Indiana.

Company size
10,001+
Company stage
IPO
Headquarters
Indianapolis, IN
Founded
1944

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