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Elevance Health

Sells health insurance and pharmacy benefits

LTSS Service Coordinator Clinician - Elkhart County, Kosciusko County, and Marshall County

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeGoshen, IN, USA

About the Job

Requirements

  • Hold an LPN/LVN, LSW, LCSW, LMSW, or other license besides RN in accordance with applicable state law, and a Nursing Diploma or an Associate of Science degree in Nursing or a related field.
  • Have 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.
  • Maintain a current, unrestricted LPN/LVN, LSW, LCSW, LMSW, or other non-RN license as allowed by state law in applicable states.
  • Obtain state-specified certification if required by state law or contract.
  • Reside in Elkhart, Kosciusko, or Marshall County, Indiana; alternative locations may be considered if within commuting distance of an office.
  • Travel to the worksite and other locations as necessary.

Responsibilities

  • Assist the responsible RN in identifying members at high risk for complications.
  • Obtain clinical data as directed by the responsible RN.
  • Assist the responsible RN 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, and in conjunction with the RN, 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 disease processes and terminology, and applying clinical guidelines; nursing judgment is not required.

Desired Qualifications

  • Hold a Master of Arts or Master of Science degree in social work.

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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