Anthem LTSS Service Coordinator - Telephonic Clinician (Non-RN) - TX STAR KIDS (PS16636) in Houston, Texas

LTSS Service Coordinator - Telephonic Clinician (Non-RN) - TX STAR KIDS (PS16636)

Location: Texas, United States


Field: Medical

Requisition #: PS16636

Post Date: 6 days ago

Your Talent. Our Vision. At Amerigroup , a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it’s a powerful combination. It’s the foundation upon which we’re creating greater access to 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

LTSS Service Coordinator - Telephonic Clinician (Non-RN) Texas Star Kids

Location: Individual must reside in Texas. Training will be held the first 4+ weeks in one of the following Amerigroup offices: (El Paso, Dallas, Houston, or Lubbock, TX)

This is a telephonic position in the LTSS (Long Term Services & Supports) department of the Texas Health Plan of Amerigroup, supporting our TX STAR Kids members in Texas. Training will be held in the office for the first 4+ weeks.

Works in collaboration with other Star Kids service coordinators 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, but not limited to, 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. Collaborate with service coordination team in identifying members for high risk complications and obtaining clinical data. Collaborates with service coordination team in identifying members that would benefit from an alternative level of care or other waiver programs. Shares all information collected with service coordination team while interpreting 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 in conjunction with the rest of the service coordination team, 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.

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 applicable state(s) 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 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.