LTSS Service Coordinator - Case Manager (Region B: Citrus/Duval/Hernando/Lake)
Job Overview
Employment Type
Full-time
Work Schedule
Standard Hours
Flexible
Benefits
Merit increases
Paid holidays
Paid Time Off
Medical insurance
Dental Insurance
Vision Insurance
401(k) Plan
Life insurance
wellness programs
Job Description
Elevance Health is a leading health company dedicated to improving lives and communities while simplifying healthcare. As a Fortune 25 company with a rich and longstanding history in the healthcare industry, Elevance Health focuses on creating impactful solutions for its members and the communities it serves. The organization's culture is deeply rooted in values and behaviors that foster both personal and professional growth for its employees while driving business outcomes and success. Elevance Health operates with a Hybrid Workforce Strategy, balancing field-based roles with occasional office attendance to maintain flexibility and responsiveness to client needs.
The LTSS Service Coordinator role is primarily a field-based position serving a defined caseload of individuals in specialized long-term services and supports (LTSS) programs. The coordinator will reside in designated counties within Region B and will travel to client sites or other locations as necessary. This role requires conducting comprehensive assessments, developing Person Centered Support Plans, and managing the care coordination needs of individuals with physical health, behavioral health, and LTSS needs. The coordinator acts as a single point of contact between the members, their care teams, and interdisciplinary healthcare professionals.
This position demands bilingual fluency in Spanish and English to effectively communicate and coordinate services within diverse populations. Responsibilities include utilizing clinical tools for assessment, applying motivational interviewing techniques, identifying members with potential clinical needs or those who could benefit from alternative waiver programs, and supporting members through evaluation, service coordination, and ongoing care management. The LTSS Service Coordinator plays a critical role in advancing integrated care plans and ensuring members achieve their self-identified goals, supported by their chosen caregivers, physicians, and natural supports.
Additional duties include documenting care plans, submitting utilization and authorization requests, reporting critical incidents to appropriate agencies, and participating in grievance or appeal processes when necessary. Experienced professionals may also serve as mentors or subject matter experts, contributing to staff training and process improvements. This role aligns with applicable state laws, contracts, and federal requirements, emphasizing both clinical and non-clinical case management.
Elevance Health values diversity, equity, and inclusion and offers a competitive benefits package that supports the well-being and development of its associates. Benefits include merit increases, paid holidays, paid time off, medical, dental, and vision insurance, disability benefits, 401(k) with match, stock purchase plan, life insurance, wellness programs, and more. New candidates in patient/member-facing roles must meet vaccination requirements related to COVID-19 and Influenza unless accommodations apply.
Overall, the LTSS Service Coordinator position at Elevance Health offers a rewarding opportunity for skilled professionals passionate about making a tangible impact through direct, hands-on engagement with individuals in need of long-term support services. By leveraging clinical expertise, bilingual communication skills, and person-centered approaches, the coordinator will contribute to meaningful improvements in health outcomes and quality of life for diverse members in the community.
The LTSS Service Coordinator role is primarily a field-based position serving a defined caseload of individuals in specialized long-term services and supports (LTSS) programs. The coordinator will reside in designated counties within Region B and will travel to client sites or other locations as necessary. This role requires conducting comprehensive assessments, developing Person Centered Support Plans, and managing the care coordination needs of individuals with physical health, behavioral health, and LTSS needs. The coordinator acts as a single point of contact between the members, their care teams, and interdisciplinary healthcare professionals.
This position demands bilingual fluency in Spanish and English to effectively communicate and coordinate services within diverse populations. Responsibilities include utilizing clinical tools for assessment, applying motivational interviewing techniques, identifying members with potential clinical needs or those who could benefit from alternative waiver programs, and supporting members through evaluation, service coordination, and ongoing care management. The LTSS Service Coordinator plays a critical role in advancing integrated care plans and ensuring members achieve their self-identified goals, supported by their chosen caregivers, physicians, and natural supports.
Additional duties include documenting care plans, submitting utilization and authorization requests, reporting critical incidents to appropriate agencies, and participating in grievance or appeal processes when necessary. Experienced professionals may also serve as mentors or subject matter experts, contributing to staff training and process improvements. This role aligns with applicable state laws, contracts, and federal requirements, emphasizing both clinical and non-clinical case management.
Elevance Health values diversity, equity, and inclusion and offers a competitive benefits package that supports the well-being and development of its associates. Benefits include merit increases, paid holidays, paid time off, medical, dental, and vision insurance, disability benefits, 401(k) with match, stock purchase plan, life insurance, wellness programs, and more. New candidates in patient/member-facing roles must meet vaccination requirements related to COVID-19 and Influenza unless accommodations apply.
Overall, the LTSS Service Coordinator position at Elevance Health offers a rewarding opportunity for skilled professionals passionate about making a tangible impact through direct, hands-on engagement with individuals in need of long-term support services. By leveraging clinical expertise, bilingual communication skills, and person-centered approaches, the coordinator will contribute to meaningful improvements in health outcomes and quality of life for diverse members in the community.
Job Requirements
- ba/bs degree or equivalent combination of education and experience
- minimum 2 years experience working with a social work agency or related field
- bilingual in english/spanish preferred
- valid driver’s license and reliable transportation
- ability to travel within designated counties
- strong organizational and documentation skills
- adherence to state laws and contract requirements
Job Qualifications
- ba/bs degree preferred in health care related field
- bilingual in english/spanish strongly preferred
- experience in ltss, case management, social work, or hospital discharge planning preferred
- excellent communication and interpersonal skills
- ability to work independently and manage a caseload
- knowledge of person centered planning and care coordination
Job Duties
- perform face to face program assessments using various tools and motivational interviewing techniques
- identify members with potential clinical health care needs and coordinate their cases as single point of contact
- manage non-clinical needs of members with chronic illnesses and disabilities to ensure cost effective use of services
- document the member’s short and long-term service goals in collaboration with their care team
- identify members who may benefit from alternative services or other waiver programs
- serve as mentor or subject matter expert and assist in training new staff
- submit utilization and authorization requests aligned with care plans
- report critical incidents to internal and external parties
- assist in appeal or fair hearings, member grievances, appeals, and audits
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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