LTSS Service Coordinator (Polk County, IA)

Elevance Health•Urbandale, IA

10d•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 preferences, needs, and self-identified goals. This includes conducting 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 coordinating 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. The candidate should reside in Polk County, Iowa, and travels to client sites or designated locations as needed, with occasional office attendance for meetings or training. Alternate locations may be considered for candidates within commuting distance of an office. Candidates outside a reasonable commuting distance from the posting location generally will not be considered unless an accommodation is granted as required by law.

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.
Candidate should reside in Polk County, Iowa.
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 needs and coordinate waiver, behavioral health, or physical health services.
Use motivational interviewing techniques during evaluations, coordination, and management of members’ needs.
Identify members with potential clinical healthcare needs, including high-risk complications and gaps in care, and coordinate 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 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’s 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 or authorization requests with documentation supporting and aligning with 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, appeals, and state audits.
May mentor, serve as a subject matter expert or preceptor for new staff, assist in formal associate training, and participate in process improvement initiatives.
Travel to the worksite and other locations as necessary.