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LTSS Service Coordinator - Case Manager (Bay/Escambia/Santa Rosa)
Job Overview
Employment Type
Full-time
Compensation
Hourly
Range $26.19 - $32.75
Work Schedule
Standard Hours
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Retirement Plan
Life insurance
wellness programs
Job Description
Elevance Health is a prominent health company dedicated to improving lives and communities while simplifying healthcare. As a Fortune 25 company with a deep-rooted history in the healthcare sector, Elevance Health is committed to delivering exceptional service to its members and making a positive impact on the communities it serves. The company fosters a culture that promotes personal and professional growth, underpinned by core values and behaviors that drive business success and power outcomes for consumers, associates, and stakeholders alike. Elevance Health offers a comprehensive range of competitive benefits including merit increases, paid holidays, paid time off, incentive bonus programs,... Show More
Job Requirements
- Requires BA/BS degree and minimum 2 years of experience working with a social work agency
- Any combination of education and experience providing equivalent background
- Specific education and experience as required by state law and contract
- Reside in or within commuting distance of designated counties
- Ability to travel regularly to client sites
- Ability to work Monday through Friday from 8am to 5pm
- COVID-19 and Influenza vaccination as required
- Willingness to work in a hybrid workforce environment
Job Qualifications
- BA/BS degree
- Minimum of 2 years experience with a social work agency or equivalent
- Experience in LTSS, case management, social work or hospital discharge planning preferred
- Bilingual in English and Spanish preferred
- Understanding of healthcare coordination and integrated care plans
- Strong communication and interpersonal skills
- Ability to engage with diverse populations
- Knowledge of state and federal healthcare regulations
Job Duties
- Conduct face to face program assessments using various tools
- Apply motivational interviewing techniques for evaluations and coordination
- Identify members with potential clinical healthcare needs and coordinate cases with clinical healthcare management
- Manage non-clinical needs of members with chronic illnesses and disabilities
- Document service and support goals with the member and care team collaboration
- Identify members suitable for alternative services or waiver programs
- Serve as mentor or preceptor for new staff and engage in process improvement
- Submit utilization and authorization requests supporting individual care plans
- Report critical incidents to internal and external parties including state and county agencies
- Assist with appeals, grievances, and participation in state audits
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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