LTSS Service Coordinator - Case Manager
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Upload Your ResumeAbout 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
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.