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LTSS Service Coordinator-Clinician Non-RN, Suffolk, VA (PS4231) in Norfolk, VA at Anthem, Inc.

Date Posted: 4/12/2018

Job Snapshot

Job Description

This is a field position supporting our LTSS (Long Term Services and Support) members in the Suffolk, VA area. You will be working from home or in the field (mileage reimbursed). You must have the flexibility to come into a local office for meetings as needed. Related computer equipment for a home office will be provided. You must have a high speed data connection.


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This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America’s leading health benefits companies and a Fortune Top 50 Company. Together we can drive the future of health care.

Working under the direction/supervision of an RN, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face 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. Assists responsible RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN. Assists the responsible RN in identifying members that would benefit from an alternative level of care or other waiver programs. Provides all information collected to the responsible RN, who verifies and interprets the information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs. Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by responsible RN, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits. Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.

Job Requirements

  • Requires an LPN/LVN, LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law; Nursing Diploma or AS in Nursing or a related field; 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background.
  • Current, unrestricted LPN/LVN, LSW, LCSW, LMSW or license other than RN (as allowed by state law) in the State of Virginia required.
  • Masters in Health/Nursing preferred.
  • May require state-specified certification based on state law and/or contract.
  • Travel required.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.