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Elevance Health

Sells health insurance and pharmacy benefits

LTSS Service Coordinator Clinician

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeOhio, USA$30.89 - $38.61 /hr

About the Job

Requirements

  • Requires an LPN/LVN, LSW, LCSW, 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 at least 2 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; an equivalent combination of education and experience is acceptable.
  • Requires a current, unrestricted LPN/LVN, LSW, LCSW, LMSW, or other non-RN license as allowed by state law in applicable states.
  • Must reside in Ohio.

Responsibilities

  • Assist in identifying members at risk for complications and obtain clinical data as directed.
  • Assist in identifying members who may benefit from an alternative level of care or other waiver programs.
  • Provide collected information to the responsible RN, who verifies and interprets it, conducts additional assessments as needed, 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, working with the RN, member, and healthcare team to support cost-effective and efficient use of health benefits.
  • Make decisions based on current member needs, requiring an understanding of disease processes, terminology, and clinical guidelines, but not nursing judgment.

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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