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LTSS Service Coordinator (Field RN)- New York City PS3910 in New York, NY at Anthem, Inc.

Date Posted: 7/3/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Empire Blue Cross Blue Shield, a proud member of the Anthem, Inc. family of companies,  it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve. 
Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine. We are a 5 Star Health Plan!
These positions will cover the Bronx area of New York City. Training and meetings will be in the NYC office at 9 Pine St. You will be working from home and in the field. Potential for flexible work week schedule. Great opportunity for career and education advancements. Bi-lingual Spanish is highly preferred.
This position is in the Long Term Services and Supports (LTSS) department. The Serivce Coordinator RN Clinician is responsible for conducting telephonic and face-to-face assessments for the identification, evaluation, coordination and management of members needs, including physical health, behavioral health, social services and long term services and supports.
Primary duties may include, but are not limited to:
  • Identifies members with potential for high risk complications and coordinates treatment 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 services.
  • Obtains a thorough and accurate member history to develop an individual service plan.
  • Conducts ongoing member assessments to include implementation, coordination, monitoring and evaluation.
  • Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from alternative level of care or other waiver programs.

  • Requires a Nursing Diploma or AS in Nursing or a related field; 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, Advocate or similar role; or any combination of education and experience, which would provide an equivalent background.
  • Current unrestricted RN license in the state of New York required.
  • Medicaid, managed care experience preferred.
  • Home health/field experience required.
  • Travel required around New York City.
  • Computer skills: MS Word, Outlook, Excel.
  • Knowledge of UAS (Universal Assessment Tool) required.
  • Bilingual in Mandarin or Spanish is a plus.
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 EOE. M/F/Disability/Veteran.