LTSS Service Coordinator-RN Clinician

Anticipated End Date:

2025-08-31

Position Title:

LTSS Service Coordinator-RN Clinician

Job Description:

LTSS Service Coordinator - RN Clinician

Location: Candidate should reside near Clarksville, TN.

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

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.

How you will make an impact:

• Responsible for performing telephonic 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. 

Minimum Requirements:

• 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; or any combination of education and experience  which would provide an equivalent background.  

• Current, unrestricted RN license in TN required.  

Preferred Skills, Capabilities, and Experiences:

• Bachelor's in Health/Nursing preferred.  

• May require state-specified certification based on state law and/or contract.

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

MED > Licensed Nurse

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.

Who We Are

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.

How We Work

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. Our values and behaviors are the root of our culture. T