LTSS Service Coordinator - Community RN; UAS

LTSS Service Coordinator - Community RN (UAS)

Join to apply for the LTSS Service Coordinator - Community RN (UAS) role at Elevance Health.

$42.28/hr - $63.42/hr

Location: The desired candidate will reside in Nassau County, Suffolk County, Brooklyn, Staten Island, Queens, Bronx, Manhattan, West Chester, or Yonkers.

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

Hybrid/Virtual policy: Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The LTSS Service Coordinator - RN Clinician is responsible for overall management of a 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.

• Perform telephonic or 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.
• Identify members for high‑risk complications and coordinate care in conjunction with the member and the health care team.
• Manage members with chronic illnesses, co‑morbidities, and/or disabilities to ensure cost‑effective and efficient utilization of health benefits.
• Obtain a thorough and accurate member history to develop an individualized care plan.
• Establish short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians; identify members that would benefit from an alternative level of care or other waiver programs.
• Develop the care plan for services for the member and ensure the member's access to those services.
• Assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services within the benefits structure or through extra‑contractual arrangements, as permissible. Interface with Medical Directors, Physician Advisors and/or Inter‑Disciplinary Teams on the development of care management treatment plans.
• Assist in problem‑solving with providers, claims or service issues.
• Direct and/or supervise 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.

• 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 that would provide an equivalent background.
• Current, unrestricted RN license in applicable state(s) required.

• MA/MS in Health/Nursing preferred.
• May require state‑specified certification based on state law and/or contract.
• Travel to worksite and other locations as necessary.
• Bilingual in Spanish, Bengali, Urdu, Punjabi, Korean, Creole highly preferred.
• Prior UAS experience preferred.

For candidates working in person or virtually, the salary range for this specific position is $42.28/hr to $63.42/hr.

Locations:
New York

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity…