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LTSS Service Coordinator - Case Manager (Region A: Bay/Escambia/Santa Rosa)
Job Overview
Employment Type
Full-time
Work Schedule
Standard Hours
Benefits
sign on bonus
Paid Time Off
Medical insurance
Dental Insurance
Vision Insurance
401k plan
Life insurance
Job Description
Elevance Health is a prominent health company committed to improving the lives of individuals and communities through innovative healthcare solutions. As a Fortune 25 company, Elevance Health brings a rich history of excellence and leadership within the healthcare industry with a mission centered around simplifying healthcare for all its members. Known for its expansive network and comprehensive health services, the company operates with a clear focus on delivering high-quality care while fostering healthier communities. Elevance Health values personal and professional growth among its associates and cultivates a corporate culture grounded in shared values and behaviors that drive business success, member... Show More
Job Requirements
- Bachelor's degree
- Minimum 2 years of relevant experience
- Ability to reside in one of the specified counties
- Experience working with social work agencies or equivalent background
- Compliance with state laws and contract requirements
- Ability to travel and conduct field-based work
- Adherence to company hybrid work policies
- COVID-19 and Influenza vaccination as required
Job Qualifications
- Bachelor's degree required
- Minimum of 2 years of experience working with a social work agency or related field
- Specific education and experience may be required based on state law and contract requirements
- Preferred bachelor's degree in health care related field
- Bilingual in English/Spanish preferred
- Experience in LTSS, case management, social work, or hospital discharge planning preferred
Job Duties
- Perform face to face program assessments using various tools with pre-defined questions
- Apply motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver and behavioral or physical health needs
- Use tools and pre-defined processes to identify members with potential clinical healthcare needs and coordinate their cases serving as single point of contact
- Manage non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities to ensure efficient utilization of long-term services and supports
- Collaborate with members and their care teams to document service and support goals and develop comprehensive support plans
- Identify members who would benefit from alternative levels of service or other waiver programs
- Submit utilization and authorization requests with supporting documentation aligned with care plans
- Report critical incidents to appropriate internal and external parties including state and county agencies
- Assist in appeal or fair hearings, member grievances, and state audits
- Serve as mentor or preceptor for new staff and participate in process improvement initiatives
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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