LTSS Service Coordinator (Osceola County, Dickinson County, Clay County, O'Brein County, IA)

Elevance Health•Urbandale, IA

10d•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 supported, the coordinator facilitates a Person Centered Planning process that documents preferences, needs, and self-identified goals. Duties include 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 state law, contracts, and federal requirements. This is a field-based role. The coordinator primarily works in the field, traveling to client sites or designated locations, with occasional office attendance for meetings or training. The candidate should reside in Osceola, Dickinson, O'Brien, or Clay County, Iowa, and must be within a reasonable commuting distance of the posting locations unless an accommodation is granted as required by law.

Requirements

Bachelor of Arts or Bachelor of Science degree.
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 Osceola County, Dickinson County, O'Brien County, or Clay County, Iowa.
Ability to 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 predefined tools and questions to identify needs, and use motivational interviewing techniques for evaluation, coordination, and management of waiver and behavioral or 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, and disabilities to support cost-effective and efficient use of long-term services and supports.
Document short- and long-term service and support goals in collaboration with the member and, at the member’s direction, their chosen care team.
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 aligned 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 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.