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Elevance Health

Sells health insurance and pharmacy benefits

LTSS Service Coordinator Clinician

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • A license other than registered nurse is required, such as LPN/LVN, LSW, LCSW, or LMSW, in accordance with applicable state law; a nursing diploma or associate degree in nursing or a related field is also required.
  • At least 2 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role, or an equivalent combination of education and experience.
  • A current, unrestricted LPN/LVN, LSW, LCSW, LMSW, or other license permitted by state law is required in the applicable state(s).
  • State-specified certification may be required based on state law and/or contract.

Responsibilities

  • Assist the responsible registered nurse in identifying members at risk of high-risk complications.
  • Obtain clinical data as directed by the responsible registered nurse.
  • Assist the responsible registered nurse in identifying members who may benefit from an alternative level of care or other waiver programs.
  • Provide collected information to the responsible registered nurse, 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 registered nurse, and in conjunction with the nurse, member, and health care team, to ensure cost-effective and efficient utilization of health benefits.
  • Base decision-making on the member's current needs, understanding of disease processes and terminology, and application of clinical guidelines; nursing judgment is not required.

Desired Qualifications

  • A master's degree in social work.
  • Travel to the worksite and other locations as necessary.

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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