LTSS Service Coordinator (Case Manager)

CareBridge-posted 3 months ago
Full-time • Mid Level
Ashtabula, OH
251-500 employees
Ambulatory Health Care Services
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The LTSS Service Coordinator is responsible for managing service coordination for a designated caseload in specialized programs. Collaborate with individuals to lead the Person Centered Planning process, documenting their preferences, needs, and goals. Conduct assessments, create comprehensive Person Centered Support Plans (PCSP), and develop backup plans. Work with Medical Directors and partake in interdisciplinary care rounds to establish a fully integrated care plan. Engage the individual's support network and oversee management of their physical health, behavioral health, and long-term services and supports, adhering to state and federal regulations.

  • Perform face to face program assessments for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver and BH or PH needs.
  • Identify members with potential clinical health care needs and coordinate those member's cases with the clinical healthcare management and interdisciplinary team.
  • Manage non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities.
  • Document short and long-term service and support goals in collaboration with the member's chosen care team.
  • Serve as mentor, subject matter expert or preceptor for new staff.
  • Submit utilization/authorization requests to utilization management with documentation supporting the individual's care plan.
  • Report critical incidents to appropriate internal and external parties.
  • Assist and participate in appeal or fair hearings, member grievances, appeals, and state audits.
  • Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency.
  • Strong preference for case management experience with older adults or individuals with disabilities.
  • BA/BS in Health/Nursing preferred.
  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical, dental, vision benefits
  • Short and long term disability benefits
  • 401(k) + match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
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