LTSS Service Coordinator (Linn County, IA)

Elevance Health•Urbandale, IA

9d•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, documenting preferences, needs, and self-identified goals. This work includes assessments, developing a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors, participating in interdisciplinary care rounds, engaging the member’s circle of support, and managing physical health, behavioral health, and long-term services and supports (LTSS) needs in accordance with applicable requirements. This is a field-based role. The candidate should reside in Linn County, Iowa; alternate locations may be considered if the candidate is within commuting distance of an office. The position involves travel to client sites and other locations as needed, with occasional office attendance for meetings or training. The job 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.
Specific education, years, and type of experience may be required based on state law and contract requirements.
Must reside in Linn County, Iowa, or in an alternate location within commuting distance of an office.
Travel to the worksite and other locations as necessary.

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 members’ needs.
Use motivational interviewing techniques to evaluate, coordinate, and manage waiver, behavioral health, and physical health needs.
Identify members with potential clinical healthcare needs, including high-risk complications and gaps in care, and coordinate cases as the single point of contact with clinical healthcare management and the interdisciplinary team.
Manage members’ non-clinical needs related to chronic illnesses, comorbidities, 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 the member and their chosen care team, as directed by the member.
Identify members who may benefit from an alternative level of service or other waiver programs.
Submit utilization and authorization requests with documentation that supports and aligns with the individual’s care plan.
Report critical incidents to appropriate internal and external parties, such as state and county agencies, 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, and assist with formal associate training.
May participate in process improvement initiatives.