LTSS Service Coordinator - Case Manager

Elevance Health Port Charlotte, FL
Full Time Entry Level 2+ years

Posted 2 weeks ago

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About This Role

The LTSS Service Coordinator is responsible for managing a caseload of individuals in specialized programs, facilitating Person Centered Planning, and coordinating their physical, behavioral, and long-term support needs. This role involves conducting assessments, developing support plans, and ensuring integrated care management within Charlotte County.

Responsibilities

  • Conduct service coordination functions for a defined caseload of individuals in specialized programs.
  • Facilitate the Person Centered Planning process, documenting member preferences, needs, and self-identified goals.
  • Perform face-to-face program assessments and apply motivational interviewing techniques for evaluations and coordination.
  • Identify members with potential clinical health care needs and coordinate their cases with the interdisciplinary team.
  • Manage non-clinical needs of members with chronic illnesses and disabilities to ensure cost-effective utilization of long-term services and supports.
  • Document short and long-term service and support goals in collaboration with the member's chosen care team.
  • Identify members who would benefit from an alternative level of service or other waiver programs.
  • Submit utilization/authorization requests to utilization management with supporting documentation.
  • Report critical incidents to appropriate internal and external parties such as state and county agencies.
  • Assist and participate in appeal or fair hearings, member grievances, appeals, and state audits.

Requirements

  • BA/BS degree and a minimum of 2 years of experience working with a social work agency
  • Reside in Charlotte County

Qualifications

  • BA/BS degree in a health care related field or equivalent background
  • Minimum of 2 years of experience working with a social work agency

Nice to Have

  • Bilingual in English/Spanish
  • Long-term care experience

Benefits

Dental Insurance
Paid Time Off
Medical Insurance
Long-term disability benefits
Vision Insurance
Paid Holidays
Stock Purchase Plan
Financial education resources
Life Insurance
401(k) Match
Wellness Programs
Short-term disability benefits

About Elevance Health

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry.

Healthcare
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