Bilingual LTSS Field Service Coordinator & Case Manager

Elevance Health

Jacksonville (FL)

Ibrido

USD 55.000 - 75.000

Tempo pieno

40 ore fa

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Descrizione del lavoro

Elevance Health is seeking a LTSS Service Coordinator to support a defined caseload of individuals in specialized programs. The role requires conducting assessments, developing a Person Centered Support Plan, and coordinating with medical directors and care teams to deliver integrated care.

The position emphasizes field-based work with occasional office meetings and a requirement to reside in designated Florida counties.

Competenze

Requires BA/BS degree and a minimum of 2 years of experience with a social work agency.
Specific education, years, and type of experience may be required by state law and contract.

Mansioni

Perform face-to-face program assessments using predefined questions and motivational interviewing.
Identify members with potential clinical health care needs and coordinate those cases with the interdisciplinary team.
Manage non-clinical needs of members with chronic illnesses to ensure cost effective utilization of LTSS.
Document short and long-term service and support goals with the member and care team.
Identify members who may benefit from alternative service levels or other waiver programs.
May mentor staff or serve as a preceptor for new associates and participate in process improvement.
Submit utilization/authorization requests with documentation supporting the care plan.
Report critical incidents to appropriate internal and external parties.
Assist with appeals, grievances, and state audits as needed.