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LTSS Service Coordinator - Case Manager (Region B: Citrus/Duval/Hernando/Lake)
Job Overview
Employment Type
Full-time
Work Schedule
Standard Hours
Flexible
Day Shifts
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Retirement Plan
Life insurance
wellness programs
Job Description
Elevance Health is a leading healthcare organization committed to improving the lives of individuals and communities through innovative and comprehensive health services. As a Fortune 25 company with a rich history in the healthcare industry, Elevance Health focuses on making healthcare simpler and more accessible for its members. The company prides itself on fostering a culture that promotes personal and professional growth, driven by core values that power business outcomes and ensure shared success for consumers, associates, communities, and the business alike. Elevance Health offers competitive total rewards, including merit increases, paid holidays, paid time off, incentive bonuses, medical, dental,... Show More
Job Requirements
- BA/BS degree or equivalent combination of education and experience
- Minimum 2 years of experience working with social work agencies or related fields
- Ability to reside in specified counties within Region B
- Valid driver’s license and reliable transportation for field visits
- Compliance with vaccination requirements as applicable
- Authorization to work in the United States
Job Qualifications
- Bachelor degree in social work, healthcare, or related field preferred
- Bilingual in English and Spanish strongly preferred
- Experience in LTSS, case management, social work or hospital discharge planning preferred
- Strong interpersonal and communication skills
- Ability to work independently and manage caseload efficiently
Job Duties
- Perform face to face program assessments using various tools
- Apply motivational interviewing techniques for evaluations and coordination of waiver services
- Identify members with potential clinical healthcare needs and gaps in care
- Coordinate member cases as single point of contact with clinical healthcare management and interdisciplinary teams
- Manage non-clinical needs of members with chronic illnesses, co-morbidities, and disabilities
- Collaborate with members and their care teams to document service and support goals
- Submit utilization and authorization requests aligning with individual care plans
- Report critical incidents to appropriate internal and external agencies
- Participate in appeal, grievance, and state audit processes
- Serve as mentor or subject matter expert and assist in training new staff
- Engage in process improvement initiatives
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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