Family Care-Service Coordinator

Elevance Health (Anthem); City of Pewaukee (WI); Hybrid; USD 52,000 - 75,000; Full time

Job summary

Elevance Health is seeking a Family Care-Service Coordinator (LTSS Service Coordinator) to manage a defined caseload in Wisconsin, traveling to client sites as needed. The role emphasizes person-centered planning, care coordination, and collaboration with a multidisciplinary team to support independent living and community participation.

The position requires a BA/BS and at least 2 years of social work experience, with preferred waiver experience and strong documentation skills.

Qualifications

• Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency.
• Waiver experience preferred.
• Excellent communication and documentation skills.
• Willingness to travel to worksites.

Responsibilities

• Conduct face-to-face program assessments using predefined questions.
• Develop and document Person Centered Plans (PCSP) and backup plans.
• Interface with Medical Directors and participate in interdisciplinary care rounds.
• Coordinate care across PH/BH/LTSS needs per state and contract requirements.
• Document short and long-term service goals with the member and care team.
• Mentor or preceptor for new staff and participate in process improvements.
• Submit utilization/authorization requests with supporting care plans.
• Report critical incidents to state or county agencies as required.
• Assist with member grievances and state audits.

Skills

Motivational interviewing

Care coordination

Interdisciplinary teamwork

Travel to sites

Education

BA/BS degree

Job description

Anticipated End Date: 2027-01-31

Position Title: Family Care-Service Coordinator

Job Description: LTSS Service Coordinator (Case Manager)

Hiring within these Wisconsin counties: Milwaukee, Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green, Racine, Kenosha, Ozaukee, Washington, Waukesha, Sheboygan, Walworth.

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee area to offer the Family Care Program. Family Care is a Wisconsin long-term care program for older adults and adults with disabilities. Our goal is that each member will experience the life they choose with supports to maximize independent living, employment, and contributing to their communities.

The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. In collaboration with the person supported, facilitates the Person Centered Planning process that documents the member's preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements.

How you will make an impact:

Responsible for performing face to face program assessments (using various tools with pre-defined questions) for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as Family Care Partnership), and BH or PH needs.

Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.

Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and supports.

At the direction of the member, documents their short and long‑term service and support goals in collaboration with the member's chosen care team that may include, caregivers, family, natural supports, service providers, and physicians.

May also serve as mentor, subject matter expert or preceptor for new staff, assisting in the formal training of associates, and may be involved in process improvement initiatives.

Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individual's care plan.

Responsible for reporting critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement).

Assists and participates in appeal or fair hearings, member grievances, appeals, and state audits.

Minimum Requirements:

Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

BA/BS degree field of study in health care related field preferred.

Assisted living or social work experience preferred.

Waiver experience preferred.

Comfortable using technology preferred.

Travels to worksite and other locations as necessary.

Job Level: Non-Management Non-Exempt

Job Family: MED > Medical Ops & Support (Non-Licensed)

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and makin