LTSS Service Coordinator (Johnson County, IA)

Elevance Health•Urbandale, IA
•Hybrid

About The Position

The LTSS Service Coordinator conducts service coordination for a defined caseload of individuals in specialized programs. Working with each person supported, the coordinator facilitates Person Centered Planning, documenting the member’s 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 in accordance with applicable laws, contracts, and federal requirements. This is a field-based position, and the candidate should reside in Johnson County, Iowa. The role involves traveling to client sites or designated locations, 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 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 Johnson County, Iowa, or an alternate location within commuting distance of an office, subject to the employer’s location policy.

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 members’ needs.
  • Use motivational interviewing techniques to support evaluation, coordination, and management of waiver, behavioral health, and physical 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, comorbidities, 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 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 other waiver programs.
  • Submit utilization and authorization requests to utilization management with documentation that supports and aligns with the individual’s care plan.
  • Report critical incidents to appropriate internal and external parties, including 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, assist with formal associate training, and participate in process improvement initiatives.
  • Travel to worksites and other locations as necessary.

Benefits

  • Merit increases
  • Paid holidays
  • Paid time off
  • Incentive bonus programs, unless covered by a collective bargaining agreement
  • Medical benefits
  • Dental insurance
  • Vision insurance
  • Short- and long-term disability benefits
  • 401(k) with company match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
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