- 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.
- Travels to worksite and other locations as necessary.
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LTSS Service Coordinator- RN Clinician
1 week ago
Elevance Health Arlington, VA, United StatesLTSS Service Coordinator- RN Clinician · Description · Location: This is a field position and the candidate should reside in Arlington, Alexandria, Loudon County or Prince William Counties. · The LTSS Service Coordinator RN Clinician is responsible for overall management of membe ...
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LTSS Service Coordinator- RN Clinician
1 week ago
Elevance Health Arlington, United StatesLocation: This is a field position and the candidate should reside in Arlington, Alexandria, Loudon County or Prince William Counties. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides superv ...
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LTSS Service Coordinator- RN Clinician
2 weeks ago
Elevance Health Arlington, United StatesAnticipated End Date: · Position Title: · LTSS Service Coordinator- RN Clinician · Job Description: · Location: This is a field position and the candidate should reside in Alexandria or Arlington, VA. · The LTSS Service Coordinator RN Clinician is responsible for overall man ...
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LTSS Service Coordinator-RN Clinician
3 weeks ago
Elevance Health Arlington, United StatesLTSS Service Coordinator-RN Clinician · Description · This is a field position and the candidate should reside in Alexandria or Arlington, VA. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provid ...
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LTSS Service Coordinator-RN Clinician
2 weeks ago
Elevance Health Arlington, Virginia, United StatesLTSS Service Coordinator-RN Clinician · Description · This is a field position and the candidate should reside in Alexandria or Arlington, VA. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provide ...
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LTSS Service Coordinator-RN Clinician
2 weeks ago
Elevance Health Arlington, United StatesAnticipated End Date: Position Title:LTSS Service Coordinator-RN ClinicianJob Description:This is a field position and the candidate should reside in Alexandria or Arlington, VA.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case withi ...
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LTSS Service Coordinator- RN Clinician
2 weeks ago
Elevance Health Arlington, United StatesAnticipated End Date: Position Title:LTSS Service Coordinator- RN ClinicianJob Description:Location: This is a field position and the candidate should reside in Alexandria or Arlington, VA.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's ...
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LTSS Service Coordinator- RN Clinician
1 week ago
Elevance Health Arlington, United StatesAnticipated End Date: Position Title:LTSS Service Coordinator- RN ClinicianJob Description:Location: This is a field position and the candidate should reside in Arlington, Alexandria, Loudon County or Prince William Counties.The LTSS Service Coordinator RN Clinician is responsibl ...
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Patient Care Coordinator RN
2 weeks ago
Kaiser Washington, United States Full timeJob Summary: · The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other ...
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LTSS Service Coordinator- Clinician
2 weeks ago
Elevance Health Arlington, United States· Location : This is a field position and the candidate should reside in Alexandria or Arlington, VA. · The LTSS Service Coordinator - Clinician working under the direction/supervision of an RN, with overall responsibility for the member's case, as required by applicable state l ...
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LTSS Service Coordinator- RN Clinician
2 weeks ago
Elevance Health Alexandria, United StatesLocation: · This is a field position and the candidate should reside in Alexandria or Arlington, VA. · The · LTSS Service Coordinator RN Clinician · is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non ...
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LTSS Service Coordinator- RN Clinician
2 weeks ago
Elevance Health Alexandria, Virginia, United StatesLTSS Service Coordinator- RN Clinician · Description · Location: This is a field position and the candidate should reside in Alexandria or Arlington, VA. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensu ...
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LTSS Service Coordinator- RN Clinician
2 weeks ago
Elevance Health, Inc. Alexandria, United StatesIdentifies 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 utilizati RN, Clinician, Coordinator, S ...
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LTSS Service Coordinator-RN Clinician
1 week ago
Elevance Health Springfield, United StatesThis is a field position and the candidate should reside in Arlington, Alexandria, Falls Church, Springfield, and Fairfax. · The LTSS Service Coordinator RN Clinician is responsible for overall management of members case within the scope of licensure; provides supervision and dir ...
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LTSS Service Coordinator-RN Clinician
2 weeks ago
Elevance Health Springfield, United StatesThis is a field position and the candidate should reside in Arlington, Alexandria, Falls Church, Springfield, and Fairfax. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and di ...
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LTSS Service Coordinator-RN Clinician
3 weeks ago
Elevance Health Springfield, VA, United StatesLTSS Service Coordinator-RN Clinician · This is a field position and the candidate should reside in Arlington, Alexandria, Falls Church, Springfield, and Fairfax. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope ...
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LTSS Service Coordinator-RN Clinician
1 week ago
Elevance Health Springfield, United StatesThis is a field position and the candidate should reside in Arlington, Alexandria, Falls Church, Springfield, and Fairfax. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and d ...
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Rn Homecare Clinician Float Suburban Md
5 days ago
MEDSTAR HEALTH Hyattsville, United States**General Summary of Position** · **Unit Highlights** · **Make a Positive Difference** · **At MedStar Health Home Care, LPN / RNs make a positive difference in people's lives by helping patients heal in the comfort of their own homes. LPNs support care plans for each patient and ...
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MDS / RN Coordinator
2 weeks ago
Regency Care of Arlington Arlington, United StatesPOSITION SUMMARY · The MDS COORDINATOR oversees the RAI process assuring schedules are followed, timeliness in completion of the MDS, CAAs and care plans developed in accordance with federal and state guidelines. This is a fulltime position that reports to the administrator of th ...
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LTSS Service Coordinator-RN Clinician
3 weeks ago
Elevance Health, Inc. Fairfax Station, United StatesThis is a field position and the candidate should reside in Arlington, Alexandria, Falls Church, Springfield, and Fairfax. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; Clinician, RN, Coordinator, S ...
LTSS Service Coordinator-RN Clinician - Arlington, VA, United States - Elevance Health
Description
LTSS Service Coordinator-RN ClinicianThis is a field position and the candidate should reside in Alexandria or Arlington, VA.
The LTSS Service Coordinator RN Clinician 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 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.Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; May require state-specified certification based on state law and/or contract.
MA/MS in Health/Nursing preferred.Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Elevance Health operates in a Hybrid Workforce Strategy.Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. Elevance Health will also follow all relevant federal, state and local laws.
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 assistance.