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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
Flexible
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Retirement Plan
incentive bonus programs
wellness programs
Job Description
Elevance Health is a prominent health company committed to improving lives and communities by making healthcare simpler and more accessible. As a Fortune 25 company with a rich history in the healthcare industry, Elevance Health invests in leadership and innovation to drive positive impact for its members and the communities it serves. The company's culture focuses on fostering professional growth, values-based work, and delivering quality care through strategic initiatives and operational excellence. Elevance Health operates a Hybrid Workforce Strategy that encourages flexibility while maintaining collaboration and team engagement, ensuring associates have opportunities for both personal and professional development. Benefits include... Show More
Job Requirements
- Require BA/BS degree with a minimum of 2 years experience with a social work agency or equivalent
- specific education and experience as required by state law and contract
- reside in designated counties within Florida
- capable of traveling to client sites
- compliance with vaccination policies including COVID-19 and influenza
Job Qualifications
- Bachelor's degree preferably in a healthcare-related field
- experience in LTSS, case management, social work, or hospital discharge planning preferred
- bilingual in English and Spanish preferred
- ability to conduct assessments and develop care plans
- strong coordination and communication skills
- knowledge of state and federal regulations related to health care and long-term services
Job Duties
- Conduct face to face program assessments using various tools
- apply motivational interviewing techniques for evaluations and coordination of waiver and health needs
- identify members with potential clinical health care needs and coordinate cases with clinical healthcare management
- manage non-clinical needs of members with chronic illnesses and disabilities
- document service and support goals in collaboration with the member and their care team
- identify members for alternative service levels or waiver programs
- serve as mentor or preceptor and assist in formal training of associates
- submit utilization and authorization requests with supporting documentation
- report critical incidents to internal and external agencies
- assist in appeal, grievance, and state audit processes
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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