LTSS Service Coordinator - RN Telehealth (Remote)
Elevance Health is a leading health company dedicated to improving lives and communities by simplifying healthcare. As a Fortune 25 company with a longstanding history in the healthcare industry, we are passionate about making a positive impact on our members and the communities we serve.
Position Overview:
The LTSS (Long-Term Services and Supports) Service Coordinator - RN Telehealth is responsible for the comprehensive management of members' cases within the scope of licensure. This role involves performing telephonic clinical assessments, developing and overseeing individualized care plans, and coordinating services to optimize member health across the care continuum. The RN will also supervise and provide direction to non-RN clinicians involved in the member's care.
Responsibilities:
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Telephonic Clinical Assessments: Conduct assessments to identify, evaluate, and manage members' needs, including physical health, behavioral health, social services, and long-term services and supports.
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Care Coordination: Identify members at risk for complications and coordinate care in collaboration with the member and the healthcare team.
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Chronic Illness Management: Manage members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits.
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Care Plan Development: Obtain a thorough and accurate member history to develop an individualized care plan, establishing short and long-term goals in collaboration with the member, caregivers, family, natural supports, and physicians.
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Service Implementation: Assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through extra-contractual arrangements, as permissible.
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Interdisciplinary Collaboration: Interface with Medical Directors, Physician Advisors, and/or Inter-Disciplinary Teams on the development of care management treatment plans.
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Supervision: Direct and/or supervise the work of non-RN clinicians in coordinating services for the member, including assigning appropriate tasks, verifying and interpreting member information, conducting additional assessments as necessary, and reviewing performance regularly.
Requirements:
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Licensure: Current, unrestricted RN license in New York.
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Experience: Minimum of 3 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a service coordinator, case management, or similar role.
Preferred Qualifications:
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Education: Bachelor's degree in Health or Nursing.
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Language Skills: Bilingual proficiency in Spanish, Mandarin, Cantonese, Russian, Korean, Urdu, or other languages is highly preferred.
Benefits:
Elevance Health offers a comprehensive benefits package, including:
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Incentive and recognition programs.
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Equity stock purchase options.
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401(k) contribution with company match.
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Paid Time Off (PTO) and paid holidays.
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Medical, dental, and vision insurance.
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Short and long-term disability benefits.
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Life insurance.
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Wellness programs.
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Financial education resources.
Why Join Us?
At Elevance Health, we are committed to creating a culture that fosters personal and professional growth. Our values and behaviors are the foundation of our culture, guiding how we achieve our strategy and drive shared success for our consumers, associates, communities, and business. As part of our team, you'll have the opportunity to make a meaningful impact on the health and well-being of our members and communities.
How to Apply:
Interested candidates are encouraged to apply through our official careers page:
Elevance Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws.