LTSS Service Coordinator (Polk County, IA)

Elevance Health•Urbandale, IA

8d•Hybrid

About The Position

The LTSS Service Coordinator conducts service coordination for a defined caseload of individuals enrolled in specialized programs. Working with each person, the coordinator facilitates a Person Centered Planning process that captures preferences, needs, and self-identified goals. This includes conducting assessments; developing a Person Centered Support Plan (PCSP) and backup plan; interfacing with Medical Directors; participating in interdisciplinary care rounds; engaging the person’s circle of support; and coordinating physical health, behavioral health, and long-term services and supports needs, consistent with applicable law, contracts, and federal requirements. This is a field-based role. The coordinator travels to client sites or other designated locations as needed, with occasional office attendance for meetings or training. The candidate should reside in Polk County, Iowa; alternate locations may be considered within commuting distance of an office. The position is classified as non-management and non-exempt.

Requirements

Bachelor’s degree (BA/BS).
At least 2 years of experience working with a social work agency, or an equivalent combination of education and experience.
Must reside in Polk County, Iowa, or a qualifying alternate location within commuting distance of an office.
Travel to the worksite and other locations as necessary.
Specific education, years, and type of experience may be required based on state law and contract requirements.
For certain patient/member-facing roles, new candidates must become vaccinated against COVID-19 and influenza unless they provide an acceptable explanation.

Nice To Haves

Bachelor’s degree in a healthcare-related field.

Responsibilities

Conduct face-to-face program assessments using tools with predefined questions to identify waiver, behavioral health, and physical health needs.
Apply motivational interviewing techniques during evaluations, coordination, and management of members’ waiver and health needs.
Identify members with potential clinical healthcare needs, including high-risk complications and gaps in care, and coordinate their cases as a single point of contact with clinical healthcare management and the interdisciplinary team.
Manage members’ non-clinical needs related to chronic illnesses, co-morbidities, and disabilities to support cost-effective and efficient use of long-term services and supports.
Document members’ short- and long-term service and support goals in collaboration with them and their chosen care team, which may include caregivers, family, natural supports, service providers, and physicians.
Identify members who may benefit from an alternative level of service or another waiver program.
Submit utilization and authorization requests to utilization management with documentation aligned with the individual’s care plan.
Report critical incidents to appropriate internal and external parties, including state and county agencies such as Adult Protective Services and law enforcement.
Assist with and participate in appeal or fair hearings, member grievances and appeals, and state audits.
May mentor, serve as a subject matter expert or preceptor for new staff, assist with formal associate training, and participate in process improvement initiatives.