LTSS Service Coordinator (Johnson County, IA)

Elevance Health•Cedar Rapids, IA
•Hybrid

About The Position

The LTSS Service Coordinator conducts service coordination for a defined caseload of individuals in specialized programs. In collaboration with each person supported, the coordinator facilitates Person Centered Planning to document 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 and interdisciplinary care teams; engaging the person’s circle of support; and coordinating physical health, behavioral health, and long-term services and supports needs in accordance with applicable law, contracts, and federal requirements. This is a field-based position serving Johnson County, Iowa. The coordinator travels to client sites or other designated locations and may attend an office occasionally for meetings or training. The candidate should reside in Johnson County, or in an alternate location within commuting distance of an office. The role may also mentor or train new staff and contribute to 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.
  • Candidate should reside in Johnson County, Iowa; alternate locations may be considered if within commuting distance of an office.
  • Ability to 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 needs and coordinate waiver, behavioral health, and physical health services.
  • Use 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 with clinical healthcare management and interdisciplinary teams as the single point of contact.
  • Manage members’ non-clinical needs related to chronic illnesses, comorbidities, and disabilities to support efficient, cost-effective 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.
  • Identify members who may benefit from an alternative level of service or another waiver program.
  • 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 appeals or fair hearings, member grievances and appeals, and state audits.
  • May mentor, serve as a subject matter expert or preceptor, assist with formal training of associates, and participate in process improvement initiatives.
  • Travel to the worksite and other locations as necessary.

Benefits

  • Merit increases
  • Paid holidays
  • Paid time off
  • Incentive bonus programs, unless covered by a collective bargaining agreement
  • Medical insurance
  • 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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