LTSS Service Coordinator – Clinician (LSW, LCSW, LPN) at Elevance Health

Columbus, Ohio, 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 other 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 other applicable license other than RN in state(s) of practice
Must be within reasonable commuting distance from posting location(s) near Columbus, OH (unless accommodation granted)

Responsibilities

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

Skills

LSW

LCSW

LPN

Case Management

LTSS

Care Coordination

Clinical Assessment

Behavioral Health

Trauma Informed Care

Person-Centered Care

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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