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Elevance Health

LTSS Transition Concierge Coordinator

Cincinnati, OH, USA|Remote, Onsite

Job Overview

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Employment Type

Full-time
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Work Schedule

Flexible
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Benefits

Merit increases
Paid holidays
Paid Time Off
Medical insurance
Dental Insurance
Vision Insurance
short-term disability
long-term disability
401(k) match
stock purchase plan
Life insurance
wellness programs
financial education resources

Job Description

Elevance Health is a leading health company dedicated to improving lives and communities by making healthcare simpler and more accessible. As a Fortune 25 company with a robust history in the healthcare industry, Elevance Health is committed to transforming the healthcare experience for its members and fostering positive outcomes. The organization operates on a hybrid workforce strategy, with an emphasis on flexibility where associates typically work from home but may be required to visit Elevance Health locations as needed, ensuring a balanced and adaptive work environment. Elevance Health offers a comprehensive range of market-competitive benefits, including paid holidays, paid time... Show More

Job Requirements

  • Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency
  • Any combination of education and experience which would provide an equivalent background
  • Strong computer skills including Excel, Outlook and Electronic Medical Records highly preferred
  • BA/BS degree field of study in health care related field preferred
  • Strong preference for case management experience with older adults or individuals with disabilities
  • Specific education, years, and type of experience may be required based upon state law and contract requirements preferred

Job Qualifications

  • Bachelor's degree in social work or related field
  • Minimum of two years experience in social work or case management
  • Strong computer skills including Excel, Outlook, and Electronic Medical Records
  • Experience with case management for older adults or individuals with disabilities preferred
  • Knowledge of long-term services and supports program requirements
  • Ability to mentor and provide guidance to new staff
  • Excellent communication and organizational skills
  • Understanding of person-centered planning and trauma-informed care.

Job Duties

  • Perform telephonic and virtual outreach to individuals in specialized programs, providers, or other stakeholders to support care plan efficacy
  • Conduct in-person visits as needed based on business requirements
  • Submit utilization and authorization requests aligned with individual care plans
  • Utilize tools and consult with primary service coordinators to monitor person-centered support plans and identify risks
  • Engage healthcare management and interdisciplinary teams to coordinate care
  • Manage non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective LTSS utilization
  • Document member service and support goals with the care team
  • Identify members benefiting from alternative services or waiver programs
  • Serve as mentor or preceptor for new staff and participate in process improvement initiatives
  • Report critical incidents to internal and external parties
  • Assist in appeals, grievances, and state audits.

Job Qualifications

Experience

Mid Level (3-7 years)

Job Location

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