LTSS Service Coordinator (Dallas County, IA)

Elevance Health•Adel, IA

7d•Hybrid

About The Position

The LTSS Service Coordinator conducts service coordination for a defined caseload of individuals in specialized programs. In collaboration with each person supported, the coordinator facilitates Person Centered Planning to document the member’s preferences, needs, and self-identified goals. This includes assessments; development of a comprehensive Person Centered Support Plan (PCSP) and backup plan; interaction with Medical Directors; participation in interdisciplinary care rounds; engagement of the member’s circle of support; and coordination of physical health, behavioral health, and long-term services and supports needs, as required by applicable law, contracts, and federal requirements. This is a field-based role requiring residence in Dallas County, Iowa, with travel to client sites or other designated locations and occasional office attendance for meetings or training. Candidates must be within a reasonable commuting distance of the posting location unless an accommodation is granted as required by law. The position is classified as non-management, non-exempt, and first shift.

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.
Specific education, years, and type of experience may be required based on state law and contract requirements.
Must reside in Dallas County, Iowa, or within a reasonable commuting distance from an office; alternate locations may be considered if within commuting distance.

Nice To Haves

BA/BS degree in a healthcare-related field.

Responsibilities

Conduct face-to-face program assessments using tools with predefined questions to identify needs and coordinate waiver, behavioral health, and physical health services.
Use motivational interviewing techniques during evaluation, coordination, and management of members’ needs.
Identify members with potential clinical healthcare needs, including high-risk complications and gaps in care, and coordinate their cases with clinical healthcare management and the interdisciplinary team as a single point of contact.
Manage members’ non-clinical needs related to chronic illnesses, co-morbidities, or disabilities to support efficient and cost-effective use of long-term services and supports.
Document members’ short- and long-term service and support goals in collaboration with the member and their chosen care team.
Identify members who may benefit from an alternative level of service or other waiver programs.
Submit utilization or authorization requests to utilization management with documentation aligned to the individual’s care plan.
Report critical incidents to appropriate internal and external parties, including state and county agencies.
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.
Travel to the worksite and other locations as necessary.