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

Elevance Health•Urbandale, IA

9d•Hybrid

About The Position

The LTSS Service Coordinator conducts service coordination for a defined caseload of individuals in specialized programs. Working with the person supported, the coordinator facilitates Person Centered Planning and documents member preferences, needs, and self-identified goals. This includes conducting assessments, developing a comprehensive Person Centered Support Plan (PCSP) and backup plan, working 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 laws, contracts, and federal requirements. This is a field-based role requiring travel to client sites or designated locations, with occasional office attendance for meetings or training. Candidates should reside in Osceola, Dickinson, Clay, or O'Brien County, Iowa, or within commuting distance of an office. The role may involve mentoring or training new staff and participating in process improvement initiatives.

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.
Reside in Osceola, Dickinson, O’Brien, or Clay County, Iowa, or within commuting distance of an office.
Travel to the worksite and other locations as necessary.

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.
Apply motivational interviewing techniques during evaluations, coordination, and management of waiver, behavioral health, 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, 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 them 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, such as 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.