LTSS Service Coordinator - Case Manager
Elevance Health
Port Charlotte, FL
Full Time
Entry Level
2+ years
Posted 2 weeks ago
Interested in this position?
Upload your resume and we'll match you with this and other relevant opportunities.
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
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
View all jobs at Elevance Health →
Related Searches
Similar Jobs
Business Change Director - Payment Integrity Ideation
Active
Elevance Health
·
Tampa, FL
1 week ago
LTSS Service Coordinator - RN
Active
Elevance Health
·
Decaturville, TN
1 week ago
Director GBD Special Programs Services - LTSS
Active
Elevance Health
·
Nashville, TN
1 week ago
Manager of DRG Coding & Clinical Validation Audit
Active
Elevance Health
·
New Hyde Park, NY
·
$111,040 - $199,872
MS-DRG
APR-DRG
ICD-10
ICD-9/10CM
1 week ago
DRG Coding Auditor
Active
Elevance Health
·
Las Vegas, NV
·
$95,172 - $149,556
ICD-10CM
MS-DRG
AP-DRG
APR-DRG
+1 more
1 week ago