- 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
Found in: Jooble US O C2 - 5 days ago
Elevance Health Fairfax, VA, United StatesLTSS Service Coordinator-RN Clinician · Description · 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 wit ...
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LTSS Service Coordinator-RN Clinician
Found in: Jobget US C2 - 1 day ago
Elevance Health Ashburn, VA, United StatesLTSS Service Coordinator-RN Clinician · Description · This is a field position and the candidate should reside in Woodbridge, VA. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision ...
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LTSS Service Coordinator-RN Clinician
Found in: Jobget US C2 - 1 day ago
Elevance Health Ashburn, VA, United StatesLTSS Service Coordinator-RN Clinician · Description · 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 with ...
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LTSS Service Coordinator-RN Clinician
Found in: Jooble US O C2 - 21 hours ago
Elevance Health Ashburn, VA, United StatesLTSS Service Coordinator-RN Clinician · This is a field position and the candidate should reside in Woodbridge, VA. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and directio ...
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LTSS Service Coordinator-RN Clinician
Found in: Jooble US O C2 - 2 days ago
Elevance Health Ashburn, VA, United StatesLTSS Service Coordinator-RN Clinician · Description · This is a field position and the candidate should reside in Woodbridge, VA. · The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervisio ...
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LTSS Service Coordinator-RN Clinician
Found in: One Red Cent US C2 - 2 weeks ago
Elevance Health Arlington, United States Full timeLTSS 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
Found in: Jooble US O C2 - 5 days ago
Elevance Health Arlington, VA, United StatesLTSS Service Coordinator- RN Clinician · 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 sco ...
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LTSS Service Coordinator-RN Clinician
Found in: Lensa US 4 C2 - 3 days ago
Elevance Health Annandale, United StatesWARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you ...
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LTSS Service Coordinator- RN Clinician
Found in: Jooble US O C2 - 5 days ago
Elevance Health Arlington, VA, United StatesLTSS Service Coordinator- RN Clinician · Description · 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 ...
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LTSS Service Coordinator-RN Clinician
Found in: Jobget US C2 - 1 day ago
Elevance Health Alexandria, VA, 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
Found in: Jooble US O C2 - 2 days ago
Elevance Health Alexandria, VA, 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
Found in: Jooble US O C2 - 3 days ago
Elevance Health Alexandria, VA, United StatesLTSS Service Coordinator-RN Clinician · 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 ...
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RN Clinical/Business Coordinator
Found in: SonicJobs Direct Apply US - 1 day ago
Fauquier Health Warrenton, United States Full timeThe Clinical and Business Coordinator's role is to assist the department director in the day - to - day management of departmental operations and personnel management. The Clinical and Business Coordinator must be knowledgeable of, and ensure compliance with, all relevant regulat ...
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Intake Clinician or RN
Found in: Talent US 2A C2 - 4 days ago
Perimeter Healthcare - Integrated Behavioral Health Arlington, United StatesShift: Friday/Saturday/Sunday 7:00am - 7:30pm · Perimeter Behavioral of Arlington has a great opportunity for a full-time Assessment and Referral (Intake) Clinician. We are seeking individuals who are committed to improving our patient's lives by using a patient centered, collabo ...
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Nurse Coordinator RN
Found in: Jooble US O L C2 - 6 minutes ago
CommuniCare Advantage Annandale, VA, United States Full timeRN MDS Nurse / Resident Assessment Coordinator (RAC) · * a member of the CommuniCare Family of Companies, is currently recruiting an RN MDS Nurse / Resident Assessment Coordinator (RAC) to join our team. At CommuniCare, MDS Nurses are treated as key members of our Operations team ...
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RN MDS Coordinator
Found in: One Red Cent US C2 - 3 days ago
Sterling Care Bethesda Bethesda, United StatesSterling Care Bethesda - · RN MDS Coordinator: Full Time · Responsibilities Include: · The MDS Coordinator will be responsible for updating and maintaining care plans according to state and federal regulations. This person will also need to work with the interdisciplinary team t ...
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OR Operations Coordinator RN
Found in: Lensa US 4 C2 - 6 days ago
Clinical Management Consultants Hyattsville, United StatesJob Opening: OR Operations Coordinator RN / Team Lead OR Hyattsville Maryland · Job Title: · OR Operations Coordinator RN / Team Lead OR · Category: · Nurse Manager · Salary: · $75,513-$130k · Location: · Hyattsville, Maryland · Date: · You can join a health care system whe ...
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OR Operations Coordinator RN
Found in: Lensa US 4 C2 - 1 day ago
Clinical Management Consultants Hyattsville, United StatesYou can join a health care system where employee engagement is at an all-time high. Where a culture of respect, diversity, and inclusion is fostered. Be a part of a team with the same goal in mind, taking care of their patient and making them feel mo Operations Coordinator, RN, T ...
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RN Home Care Clinician PV- Laurel
Found in: beBee S2 US - 4 weeks ago
MEDSTAR HEALTH Beltsville, United States Full timeGeneral Summary of Position · 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 then help patients and their car ...
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RN Staff Development Coordinator
Found in: One Red Cent US C2 - 1 day ago
Cherrydale Health & Rehabilitation Center Arlington, United StatesCherrydale Health & Rehabilitation Center - Cherrydale Health & Rehabilitation Center in Arlingtonis seeking an RN for our Staff Development Coordinator position. · The Staff Development Coordinator (SDC) is responsible for providing new hire orientation, annual follow-up trainin ...
LTSS Service Coordinator-RN Clinician - Fairfax, VA, United States - Elevance Health
Description
LTSS Service Coordinator-RN ClinicianThis 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 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.
