LTSS Service Coordinator-RN Clinician (Star Kids)
Company: Elevance Health
Location: Galveston
Posted on: March 18, 2023
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Job Description:
Position Title:LTSS Service Coordinator-RN Clinician (Star
Kids)Job Description:LTSS Service Coordinator-RNLocation: Field
based position covering South East Houston, TX and surrounding
areas: Baytown, Pasadena, Galveston, Deer Park, La Porte, Webster,
League City and/or Channelview, TXThe LTSS Service Coordinator-RN
is responsible for overall management of member's case within the
scope of licensure; provides supervision and direction to non-RN
clinicians participating in the member's case in accordance with
applicable state law and contract; develops, monitors, evaluates,
and revises the member's care plan to meet the member's needs, with
the goal of optimizing member health care across the care
continuum.Responsible for performing telephonic or face-to-face
clinical assessments for the identification, evaluation,
coordination and management of member's needs, including physical
health, behavioral health, social services and long term services
and supports.Identifies members for high risk complications and
coordinates care in conjunction with the member and the health care
team.Manages members with chronic illnesses, co-morbidities, and/or
disabilities, to insure cost effective and efficient utilization of
health benefits.Obtains a thorough and accurate member history to
develop an individual care plan.Establishes short and long term
goals in collaboration with the member, caregivers, family, natural
supports, physicians; identifies members that would benefit from an
alternative level of care or other waiver programs.The RN has
overall responsibility to develop the care plan for services for
the member and ensures the member's access to those services.May
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.Interfaces with Medical Directors,
Physician Advisors and/or Inter-Disciplinary Teams on the
development of care management treatment plans.May also assist in
problem solving with providers, claims or service issues.Directs
and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and
other licensed professionals other than an RN, in coordinating
services for the member by, for example, assigning appropriate
tasks to the non-RN clinicians, verifying and interpreting member
information obtained by these individuals, conducting additional
assessments, as necessary, to develop, monitor, evaluate, and
revise the member's care plan to meet the member's needs, and
reviewing and providing input on the non-RN clinicians' performance
on a regular basis.Position Requirements:Requires an RN; 3-4 years
of experience in working with individuals with chronic illnesses,
co-morbidities, and/or disabilities in a Service Coordinator, Case
Management, or similar role; or any combination of education and
experience, which would provide an equivalent background.Current,
unrestricted RN license in applicable state(s) required.Local
travel requiredPreferred Skills, Capabilities and
Experiences:Computer experience to include Microsoft Word, Outlook,
Excel and electronic charting strongly preferredBilingual
English/Spanish preferredJob Level:Non-Management
Non-ExemptWorkshift:Job Family:MED > Licensed NurseWe offer a
range of market-competitive total rewards that include merit
increases, paid holidays, Paid Time Off, and incentive bonus
programs (unless covered by a collective bargaining agreement),
medical, dental, vision, short- and long-term disability benefits,
401(k) +match, stock purchase plan, life insurance, wellness
programs and financial education resources, to name a few.The
health of our associates and communities is a top priority for
Elevance Health. We require all new candidates to become vaccinated
against COVID-19. If you are not vaccinated, your offer will be
rescinded unless you provide - and Elevance Health approves - a
valid religious or medical explanation as to why you are not able
to get vaccinated that Elevance Health is able to reasonably
accommodate. Elevance Health will also follow all relevant federal,
state and local laws.Elevance Health has been named as a Fortune
Great Place To Work in 2021, is ranked as one of the 2021 World's
Most Admired Companies among health insurers by Fortune magazine,
and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To
learn more about our company and apply, please visit us at
careers.ElevanceHealth.com. Elevance Health is an Equal Employment
Opportunity employer and 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. Applicants who require
accommodation to participate in the job application process may
contact ability@icareerhelp.com for assistance.We offer a range of
market-competitive total rewards that include merit increases, paid
holidays, Paid Time Off, and incentive bonus programs (unless
covered by a collective bargaining agreement), medical, dental,
vision, short- and long-term disability benefits, 401(k) +match,
stock purchase plan, life insurance, wellness programs and
financial education resources, to name a few.The health of our
associates and communities is a top priority for Elevance Health.
We require all new candidates to become vaccinated against
COVID-19. If you are not vaccinated, your offer will be rescinded
unless you provide - and Elevance Health approves - a valid
religious or medical explanation as to why you are not able to get
vaccinated that Elevance Health is able to reasonably accommodate.
Elevance Health will also follow all relevant federal, state and
local laws.Elevance Health has been named as a Fortune Great Place
To Work in 2021, is ranked as one of the 2021 World's Most Admired
Companies among health insurers by Fortune magazine, and a Top 20
Fortune 500 Companies on Diversity and Inclusion. To learn more
about our company and apply, please visit us at
careers.ElevanceHealth.com. Elevance Health is an Equal Employment
Opportunity employer, and 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. Applicants who require
accommodation to participate in the job application process may
contact ability@icareerhelp.com for assistance.
Keywords: Elevance Health, Galveston , LTSS Service Coordinator-RN Clinician (Star Kids), Other , Galveston, Texas
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