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

Jacksonville, FL, USA|Travel, Onsite

Job Overview

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Employment Type

Full-time
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Work Schedule

Standard Hours
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Benefits

sign on bonus
Paid Time Off
Medical insurance
Dental Insurance
Vision Insurance
401k Match
Life insurance

Job Description

Elevance Health is a prominent health company dedicated to improving lives and communities by making healthcare simpler and more accessible. As a Fortune 25 company with deep roots in the healthcare industry, Elevance Health is committed to advancing care quality and supporting members through innovative and comprehensive health solutions. The company fosters a culture centered on its core values and behaviors, which empower the organization to achieve strategic objectives, support business outcomes, and promote shared success for consumers, associates, communities, and the business as a whole. Elevance Health offers a collaborative and growth-oriented working environment, encouraging personal and professional development among its associates. It provides market-competitive total rewards, including merit increases, paid holidays, paid time off, incentive bonus programs, medical, dental, vision, disability, 401(k) plans, life insurance, wellness programs, and financial education resources. The company operates with a hybrid workforce strategy, requiring associates to work onsite at least once per week unless primarily virtual positions are designated. Elevance Health also prioritizes health and safety by requiring vaccination for certain roles and adheres strictly to all applicable federal, state, and local laws promoting equal employment opportunity and accommodation for applicants.

The LTSS (Long-Term Services and Supports) Service Coordinator role at Elevance Health is a field-based position primarily focused on delivering personalized service coordination to individuals enrolled in specialized programs. This position is open to candidates residing in certain Florida counties within Region B and involves frequent travel to client sites or designated locations to ensure direct engagement and responsive support. The role requires the coordinator to conduct comprehensive assessments, facilitate Person Centered Planning processes, and collaborate with members, their support networks, and healthcare professionals to develop and maintain integrated care plans that address physical health, behavioral health, and LTSS needs. The coordinator acts as a key resource for managing both clinical and non-clinical needs of members, providing impactful care coordination, and ensuring compliance with state and federal requirements.

Key responsibilities include conducting face-to-face evaluations using motivational interviewing techniques, identifying members with clinical needs, coordinating with healthcare teams, overseeing utilization of LTSS resources, documenting service and support goals, mentoring new staff, submitting authorization requests, managing critical incident reporting, and participating in audits and appeals. This position offers a $1500 sign-on bonus and follows a Monday through Friday, 8 am to 5 pm EST schedule. It is ideal for bilingual candidates fluent in Spanish and English, who bring experience in social work, case management, or healthcare-related fields and a passion for supporting individuals with complex needs. This role not only impacts members' health and wellbeing but also contributes to Elevance Health's mission of driving positive community health outcomes through compassionate, coordinated care.

Job Requirements

  • Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency or equivalent combination of education and experience
  • Must reside in one of the specified Florida counties within Region B
  • Ability to work a Monday-Friday 8 am to 5 pm EST schedule
  • Must be bilingual in English and Spanish
  • Must be able to travel regularly to client sites
  • Specific education, years, and type of experience may be mandated by state law and contract requirements

Job Qualifications

  • Bachelor's degree in social work, healthcare, or related field preferred
  • Experience in long-term services and supports (LTSS), case management, social work, or hospital discharge planning preferred
  • Proficiency in bilingual communication in English and Spanish strongly preferred
  • Strong interpersonal and motivational interviewing skills
  • Ability to collaborate effectively with interdisciplinary healthcare teams
  • Knowledge of relevant state laws and federal healthcare requirements
  • Experience mentoring or training staff is an asset

Job Duties

  • Perform face to face program assessments using various tools with predefined questions
  • Apply motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver and behavioral or physical health needs
  • Identify members with potential clinical healthcare needs and coordinate their cases as the single point of contact with healthcare management and interdisciplinary teams
  • Manage non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities to ensure cost-effective utilization of long-term services and supports
  • Document members' short and long-term service and support goals in collaboration with their care teams
  • Identify members who would benefit from alternative service levels or waiver programs
  • Serve as mentor, subject matter expert, or preceptor for new staff and assist in training
  • Submit utilization and authorization requests with supporting documentation aligned with individual care plans
  • Report critical incidents to internal and external parties, including state and county agencies
  • Assist and participate in appeals, fair hearings, member grievances, and state audits

Job Criteria

Experience

Mid Level (3-7 years)


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