Family Care-Service Coordinator

Elevance Health•Waukesha, WI

1d•Hybrid

About The Position

Elevance Health is excited to offer the Family Care Program in western/southwestern Wisconsin and Milwaukee County. Family Care is a Wisconsin long-term care program for older adults and adults with disabilities, aiming to help each member experience the life they choose with supports to maximize independent living, employment, and community contribution. The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. This role involves facilitating the Person Centered Planning process, documenting member preferences, needs, and goals. Key activities include conducting assessments, developing a Person Centered Support Plan (PCSP) and backup plan, collaborating with Medical Directors, participating in interdisciplinary care rounds, and managing the member's physical health (PH)/behavioral health (BH)/LTSS needs in accordance with state and federal requirements. This is a field-based role requiring travel to client sites or designated locations, with occasional office attendance. Alternate locations may be considered for candidates residing within commuting distance of an office.

Requirements

BA/BS degree and a minimum of 2 years of experience working with a social work agency; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

BA/BS degree field of study in a health care-related field.
Assisted living or social work experience.
Waiver experience.
Comfortable using technology.
Travels to worksite and other locations as necessary.

Responsibilities

Performing face-to-face program assessments using various tools with pre-defined questions.
Applying motivational interviewing techniques for evaluations, coordination, and management of an individual’s waiver (such as Family Care Partnership), and BH or PH needs.
Identifying members with potential clinical healthcare needs and coordinating their cases with the clinical healthcare management and interdisciplinary team.
Managing non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of long-term services and supports.
Documenting member's short and long-term service and support goals in collaboration with the member’s chosen care team.
Serving as mentor, subject matter expert, or preceptor for new staff, assisting in formal training.
Participating in process improvement initiatives.
Submitting utilization/authorization requests to utilization management with supporting documentation.
Reporting critical incidents to appropriate internal and external parties.
Assisting and participating in appeal or fair hearings, member grievances, appeals, and state audits.