LTSS Service Coordinator - Case Manager (Region B: Citrus/Duval/Hernando/Lake)

Elevance Health is a leading health company committed to improving lives and communities by simplifying healthcare. As a Fortune 25 organization with a rich history in the healthcare industry, Elevance Health focuses on making a meaningful impact on the members and communities it serves. The company fosters a culture designed to advance its strategic goals while supporting the personal and professional growth of its associates. Elevance Health values and behaviors form the foundation of its culture, driving business outcomes, shared success, and a positive experience for consumers, associates, and communities alike.

Elevance Health offers a comprehensive package of market-competitive total rewards including merit increases, paid holidays, paid time off, incentive bonus programs, medical, dental, and vision coverage, short and long-term disability benefits, a 401(k) plan with matching, stock purchase plans, life insurance, wellness programs, and financial education resources. Their hybrid workforce strategy enables associates to work both remotely and onsite to enhance flexibility and collaboration. Elevance Health prioritizes the health and safety of its workforce and communities by requiring vaccination for certain roles in patient or member-facing positions.

The LTSS Service Coordinator role at Elevance Health is a specialized position focused on conducting service coordination functions for individuals enrolled in long-term services and supports (LTSS) programs. This position is primarily field-based, requiring travel to client sites within Region B counties in Florida, supporting members in managing their physical, behavioral health, and LTSS needs. The coordinator works closely with members, their support circles, healthcare providers, and interdisciplinary teams to create and implement person-centered support plans that reflect the preferences, needs, and goals of members.

Key responsibilities include performing face-to-face program assessments using motivational interviewing techniques and standardized tools, identifying members with clinical health needs or high-risk complications, and coordinating care and services. The LTSS Service Coordinator acts as the single point of contact for clinical healthcare management, managing non-clinical needs to ensure efficient and cost-effective use of services. The coordinator documents service and support goals collaboratively and identifies members suited for alternative waiver programs or levels of service.

Additionally, the role involves submitting utilization authorization requests, reporting critical incidents to appropriate agencies, and participating in appeals, grievances, and audits. Experienced coordinators may serve as mentors or subject matter experts and contribute to process improvement initiatives. This position requires level-headedness, strong communication skills, and a compassionate approach to meet the diverse and complex needs of members.

The role requires residing within specified counties in Florida to ensure timely and effective field engagement. Elevance Health welcomes applicants with a BA/BS degree and experience in social work or relevant health care fields, with bilingual English/Spanish skills highly preferred to meet the diverse needs of the member population. This role is full-time, Monday through Friday from 8am to 5pm EST, offering a supportive and inclusive work environment dedicated to health equity and continuous improvement.