LTSS Service Coordinator - Clinician at Elevance Health

Midland, Texas, United States

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Not SpecifiedCompensation

Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

LPN/LVN, LSW, LCSW, LMSW, or license other than RN in accordance with applicable state law
Nursing Diploma, AS in Nursing, or related field
Minimum of 2 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role (or equivalent combination of education and experience)
Current, unrestricted LPN/LVN, LSW, LCSW, LMSW or license other than RN (as allowed by state law) in applicable state(s)
May require state-specified certification based on state law and/or contract
Reside in Val Verde, Del Rio, Uvalde, Zavala, Ector, Tom Green, San Angelo, or Midland TX (field-based position)
Ability to travel to worksite and other locations as necessary

Responsibilities

Work under the direction/supervision of an RN, with overall responsibility for the member's case
Contribute to the LTSS care coordination process by performing activities within the scope of licensure, including assisting the responsible RN with telephonic or face-to-face assessments for identification, evaluation, coordination, and management of member's needs (physical health, behavioral health, social services, and long-term services and supports)
Assist responsible RN in identifying members for high risk complications
Obtain clinical data as directed by the responsible RN
Assist the responsible RN in identifying members that would benefit from an alternative level of care or other waiver programs
Provide all collected information to the responsible RN for verification, interpretation, additional assessments, and development/monitoring/evaluation/revision of the member's care plan
Participate in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by responsible RN, in conjunction with the RN, member, and health care team, to ensure cost-effective and efficient utilization of health benefits
Apply decision-making skills based on current member needs, understanding of disease processes and terminology, and clinical guidelines (without requiring nursing judgment)

Skills

Care Coordination

Clinical Assessments

Telephonic Assessments

Face-to-Face Assessments

Behavioral Health

Physical Health

Social Services

LTSS

Care Planning

Chronic Illness Management

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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