LTSS Service Coordinator - Clinician (San Jacinto County)

Elevance Health is a leading health company dedicated to improving lives and communities while simplifying healthcare. As a Fortune 25 company with a longstanding history in the healthcare industry, Elevance Health is committed to innovation and excellence. They place a strong emphasis on fostering a culture that promotes both personal and professional growth for their associates. This is achieved through a set of core values and behaviors that drive their business success and help create meaningful impacts for their consumers, associates, communities, and overall business outcomes. Elevance Health operates with a hybrid workforce strategy, encouraging flexibility while ensuring associates maintain essential connections to their roles and teams through regular onsite presence. They offer a comprehensive and competitive range of total rewards, including merit increases, paid holidays, paid time off, incentive bonus programs, and benefits such as medical, dental, vision, short and long term disability coverage, 401(k) with matching contributions, stock purchase plans, life insurance, wellness programs, and financial education resources.

The LTSS (Long-Term Services and Supports) Service Coordinator - Clinician role at Elevance Health is a vital field-based position predominantly operating within San Jacinto County, Texas. This role requires the candidate to reside within this area and be willing to travel up to one hour daily to client sites or other designated work locations. The LTSS Service Coordinator - Clinician works directly under the supervision of a Registered Nurse (RN) or Licensed Social Worker (LSW), holding overall responsibility for coordinating the case management and care of assigned members in compliance with applicable state laws and contracts. This role involves contributing to the LTSS care coordination process by performing activities aligned with the scope of licensure. Examples of these activities include assisting the RN or LSW with comprehensive assessments conducted either telephonically or face-to-face to identify, evaluate, coordinate, and manage member needs across physical health, behavioral health, social services, and long-term care support domains.

This position plays a significant role in supporting the responsible RN or LSW in identifying members at risk for high complication levels and gathering essential clinical data as directed. The Coordinator also helps determine which members could benefit from alternative care levels or waiver programs. All information collected by the Coordinator is reviewed and interpreted by the supervising RN or LSW, who carries out further assessments if necessary and then develops, monitors, evaluates, and revises personalized care plans to address each member's distinct needs effectively. Furthermore, the Coordinator actively participates in coordinating care for members with chronic illnesses, co-morbid conditions, or disabilities. This coordination is a collaborative effort involving the RN or LSW, the member themselves, and the broader healthcare team to ensure care delivery is cost-effective, efficient, and aligned with each member’s health goals.

The role demands solid decision-making skills based on understanding disease processes, clinical guidelines, and terminology, though it does not require independent nursing judgment. The LTSS Service Coordinator - Clinician position is ideal for candidates holding an LSW, LCSW, LMHC, or LMSW license or a similar license recognized under state law, supplemented by relevant experience with individuals managing chronic illnesses or disabilities. It also offers a unique opportunity to work in a flexible, field-oriented environment while making a lasting positive impact on vulnerable populations' health and wellbeing.