LTSS Service Coordinator (Woodbury County, IA)

Elevance Health•Urbandale, IA

9d•Hybrid

About The Position

The LTSS Service Coordinator manages service coordination for a defined caseload of individuals enrolled in specialized programs. In collaboration with each person, the coordinator facilitates Person Centered Planning, documenting preferences, needs, and self-identified goals. This includes conducting assessments, developing a comprehensive Person Centered Support Plan (PCSP) and backup plan, coordinating with Medical Directors and interdisciplinary care teams, engaging the person’s circle of support, and managing physical health, behavioral health, and long-term services and supports (LTSS) needs in accordance with applicable laws, contracts, and federal requirements. This is a field-based position. The candidate should reside in Woodbury County, Iowa; alternate locations may be considered if within commuting distance of an office. The role involves travel to client sites or other designated locations, 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.
Must reside in Woodbury County, Iowa, or an alternate location within commuting distance of an office, unless an accommodation is granted as required by law.
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.
Candidates in certain patient- or member-facing roles must be 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 needs and coordinate waiver, behavioral health, or physical health services.
Apply motivational interviewing techniques during assessments, evaluations, coordination, and management of members’ needs.
Identify members with potential clinical healthcare needs, including high-risk complications or gaps in care, and coordinate their cases with clinical healthcare management and interdisciplinary teams as a single point of contact.
Manage non-clinical needs of members with 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, at the member’s direction and in collaboration with their chosen care team.
Identify members who may benefit from an alternative level of service or another waiver program.
Submit utilization or 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 associate training, and participate in process-improvement initiatives.