Family Care-Service Coordinator
Elevance Health • Dodgeville, WI3d • Hybrid
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Family Care-Service Coordinator
Elevance Health•Dodgeville, WI
•Hybrid
About The Position
The LTSS Service Coordinator (Case Manager) supports members enrolled in Wisconsin’s Family Care Program, a long-term care program for older adults and adults with disabilities. The program aims to help members live the lives they choose, with supports that maximize independent living, employment, and participation in their communities. The coordinator manages service coordination for a defined caseload. In collaboration with each member, they facilitate Person Centered Planning, document preferences, needs, and self-identified goals, conduct assessments, and develop a comprehensive Person Centered Support Plan (PCSP) and backup plan. The role also involves coordinating physical health, behavioral health, and long-term services and supports; communicating with Medical Directors; participating in interdisciplinary care rounds; and engaging members’ chosen support networks, as required by applicable laws, contracts, and federal requirements. This is a field-based position involving travel to client sites or other designated locations, with occasional office attendance for meetings or training. Candidates must reside within a reasonable commuting distance of a posting location unless an accommodation is granted as required by law.
Requirements
- A BA/BS degree and at least 2 years of experience working with a social work agency, or an equivalent combination of education and experience.
- Travel to the worksite and other locations as necessary.
Nice To Haves
- BA/BS degree in a healthcare-related field.
- Assisted living or social work experience.
- Waiver experience.
- Comfort using technology.
Responsibilities
- Conduct face-to-face program assessments using tools with predefined questions to identify members’ needs and coordinate their waiver, behavioral health, or physical health needs.
- Use established identification processes to identify members with potential clinical healthcare needs, including high-risk complications and 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, co-morbidities, 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 in collaboration with the member and their chosen care team, which may include caregivers, family, natural supports, service providers, and physicians.
- Submit utilization and authorization requests to utilization management with documentation supporting and aligning with the individual’s care plan.
- Report critical incidents to appropriate internal and external parties, including state and county agencies such as 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.
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs, unless covered by a collective bargaining agreement
- Medical benefits
- Dental benefits
- Vision benefits
- Short- and long-term disability benefits
- 401(k) with matching
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
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