LTSS Service Coordinator-Clinician
| Company | Elevance Health |
|---|---|
| Location | Lubbock, TX, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Associate’s |
| Experience Level | Junior, Mid Level |
Requirements
- Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law and Nursing Diploma or AS in Nursing or a related field and minimum of 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background.
- Current, unrestricted LPN/LVN, LSW, LCSW, LMSW or license other than RN (as allowed by state law) in applicable state(s) required.
- May require state-specified certification based on state law and/or contract.
Responsibilities
- Identifies members for high risk complications.
- Obtains clinical data.
- Identifies members that would benefit from an alternative level of care or other waiver programs.
- Verifies and interprets information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member’s care plan to meet the member’s needs.
- Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits.
Preferred Qualifications
- Previous experience with Utilization Management preferred.
- Computer experience and experience using Microsoft Office Suite to include Outlook, Word, and Excel.