Elevance Health-posted about 1 year ago
Full-time • Mid Level
Knoxville, TN
11-50 employees
Insurance Carriers and Related Activities

The LTSS Service Coordinator is responsible for conducting service coordination functions for individuals in specialized programs within Hamilton/Bradley Counties. This role involves facilitating the Person Centered Planning process, conducting assessments, and developing comprehensive support plans while managing the physical and behavioral health needs of members. The coordinator serves as a single point of contact for care coordination, ensuring efficient utilization of long-term services and supports, and may also mentor new staff and participate in process improvement initiatives.

  • Conduct face-to-face program assessments using various tools and motivational interviewing techniques.
  • Facilitate the Person Centered Planning process, documenting member preferences and goals.
  • Develop comprehensive Person Centered Support Plans (PCSP) and backup plans.
  • Interface with Medical Directors and participate in interdisciplinary care rounds.
  • Manage the physical health (PH), behavioral health (BH), and long-term services and supports (LTSS) needs of members.
  • Identify members with potential clinical healthcare needs and coordinate their cases with the clinical healthcare management team.
  • Document short and long-term service and support goals in collaboration with the member's care team.
  • Submit utilization/authorization requests to utilization management with supporting documentation.
  • Report critical incidents to appropriate internal and external parties.
  • Assist in appeals, member grievances, and state audits.
  • BA/BS degree in a relevant field.
  • Minimum of 2 years of experience working with a social work agency or equivalent education and experience.
  • BA/BS degree in a healthcare-related field preferred.
  • Sign-on bonus of $2500
  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical, dental, and vision insurance
  • Short and long-term disability benefits
  • 401(k) with matching
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
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