LTSS Service Coordinator – RN Clinician (Case Manager)
Are you a compassionate and driven Registered Nurse with a passion for helping individuals with complex medical needs? Elevance Health is seeking a highly motivated and dedicated individual to join our team as a LTSS Service Coordinator – RN Clinician (Case Manager). As a member of our team, you will play a crucial role in coordinating and managing the care of our clients with long-term services and supports (LTSS) needs. Your expertise and care will make a significant impact on the lives of our clients and their families. Join us in our mission to provide personalized, high-quality care to those in need.
- Coordinate and manage the care of clients with long-term services and supports (LTSS) needs.
- Conduct thorough assessments of clients' medical needs and develop individualized care plans.
- Collaborate with interdisciplinary team members to ensure comprehensive and coordinated care.
- Act as a liaison between clients, healthcare providers, and community resources to facilitate access to necessary services.
- Monitor and evaluate the effectiveness of care plans and make necessary adjustments.
- Provide education and support to clients and their families on managing complex medical conditions.
- Maintain accurate and up-to-date client records and documentation.
- Advocate for clients' needs and rights, ensuring they receive the highest quality of care.
- Stay current with industry developments and best practices in LTSS and nursing case management.
- Demonstrate a high level of compassion, empathy, and sensitivity towards clients and their families.
- Maintain strict confidentiality of client information.
- Adhere to ethical and professional standards of nursing practice.
- Collaborate with insurance companies and managed care organizations to ensure proper coverage and reimbursement for services.
- Participate in quality improvement initiatives to enhance the delivery of care.
- Demonstrate a commitment to the mission and values of Elevance Health.
Registered Nurse (Rn) Licensure: A Valid Rn License Is A Necessary Qualification For A Ltss Service Coordinator At Elevance Health. This Ensures That The Individual Has The Necessary Education And Training To Provide Clinical Care And Case Management Services To Patients.
Clinical Experience: Elevance Health Requires At Least 2-3 Years Of Clinical Experience As An Rn, Preferably In A Long-Term Care Or Home Health Setting. This Experience Provides The Necessary Knowledge And Skills To Effectively Assess And Manage The Care Of Patients With Complex Medical Needs.
Case Management Experience: In Addition To Clinical Experience, Elevance Health Looks For Candidates With At Least 1-2 Years Of Experience In Case Management. This Demonstrates The Ability To Coordinate Care And Services For Patients, As Well As Effectively Communicate With Other Healthcare Providers And Community Resources.
Knowledge Of Ltss Programs: Elevance Health Specializes In Providing Ltss Services, So Knowledge And Experience With These Programs Is An Important Qualification For A Ltss Service Coordinator. This Includes Familiarity With Medicare And Medicaid Regulations, As Well As Knowledge Of Various Community Resources And Support Services.
Strong Communication And Interpersonal Skills: As A Ltss Service Coordinator, Effective Communication And Interpersonal Skills Are Essential For Building Relationships With Patients, Families, And Other Healthcare Providers. Elevance Health Looks For Candidates Who Are Able To Communicate Clearly And Professionally, While Also Demonstrating Empathy And Compassion.
Chronic disease management
Case management
Resource management
Health education
Needs Assessment
medication management
Care planning
Patient Advocacy
Care Coordination
Patient-Centered
Multidisciplinary Collaboration
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
Attention to detail
Teamwork
collaboration
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a LTSS Service Coordinator – RN Clinician (Case Manager) in Cincinnati, OH, USA is between $55,000 and $70,000 per year. This range can vary depending on the specific company, experience level, and qualifications of the individual.
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Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.
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