LTSS Service Coordinator (Linn County, IA)

Elevance Health•Cedar Rapids, IA

10d•Hybrid

About The Position

The LTSS Service Coordinator conducts service coordination for a defined caseload of individuals enrolled in specialized programs. In collaboration with each supported person, the coordinator facilitates Person Centered Planning to document preferences, needs, and self-identified goals. This work includes assessments; development of a comprehensive Person Centered Support Plan (PCSP) and backup plan; coordination with Medical Directors and participation in interdisciplinary care rounds; engagement of the member’s support network; and management of 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 travels to client sites or designated locations as needed, with occasional office attendance for meetings or training. The candidate should reside in Linn County, Iowa; alternate locations may be considered within commuting distance of an office. The posting also describes Elevance Health’s hybrid workforce strategy, which generally requires associates to work at an Elevance Health location at least once per week unless the position is designated primarily virtual. The role may include mentoring, serving as a subject matter expert or preceptor, assisting with staff training, and participating in process improvement initiatives. The position is classified as Non-Management Non-Exempt in the Medical Ops & Support (Non-Licensed) job family.

Requirements

Bachelor of Arts or Bachelor of Science degree.
At least two years of experience working with a social work agency, or an equivalent combination of education and experience.
Meet any additional specific education, years-of-experience, and experience-type requirements applicable under state law and contract requirements.
Reside in Linn County, Iowa; alternate locations may be considered if within commuting distance from an office.
Travel to worksites and other locations as necessary.

Nice To Haves

Bachelor of Arts or Bachelor of Science degree in a healthcare-related field.

Responsibilities

Conduct face-to-face program assessments using tools with predefined questions to identify member needs and coordinate waiver, behavioral health, or physical health services.
Apply motivational interviewing techniques during evaluations, coordination, and management of members’ needs.
Identify members with potential clinical healthcare needs, including high-risk complications or 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 at their direction, working with their chosen care team, which may include caregivers, family, natural supports, service providers, and physicians.
Identify members who could 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, such as state and county agencies, Adult Protective Services, and law enforcement.
Assist with and participate in appeals 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 training, and participate in process improvement initiatives.
Travel to worksites and other locations as necessary.