LTSS Service Coordinator-Western Iowa

Elevance Health • Adel, IA

81d

About The Position

The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. In collaboration with the person supported, facilitates the Person Centered Planning process that documents the member’s preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member’s circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements.

Requirements

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

Nice To Haves

• BA/BS degree field of study in health care related field preferred.

Responsibilities

• Perform face to face program assessments for identification, applying motivational interviewing techniques for evaluations.
• Coordinate and manage an individual’s waiver (such as LTSS/IDD), 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.
• Identify members that would benefit from an alternative level of service or other waiver programs.
• Serve as mentor, subject matter expert or preceptor for new staff.
• Submit utilization/authorization requests to utilization management.
• Report critical incidents to appropriate internal and external parties.
• Assist and participate in appeal or fair hearings, member grievances, appeals, and state audits.
• Travel to worksite and other locations as necessary.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical benefits
• Dental benefits
• Vision benefits
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees