Field LTSS Service Coordinator

Elevance Health, Inc.; Cedar Rapids (IA); Hybrid; USD 52,000 - 76,000; Full time

Job summary

Elevance Health is seeking a LTSS Service Coordinator to manage a defined caseload and lead the Person Centered Planning process. This field-based role involves assessments, PCSP development, and interfacing with Medical Directors for integrated care planning.

You will collaborate with the member and support network to document goals and coordinate LTSS, BH, and PH needs in compliance with state and contract requirements.

Qualifications

• BA/BS degree required.
• Minimum of 2 years of experience with a social work agency or equivalent.
• Education/experience aligned with state law and contract requirements.

Responsibilities

• Conduct face-to-face program assessments using predefined questions and motivational interviewing to evaluate and coordinate waiver and LTSS/BH/PH needs.
• Identify members with potential clinical health care needs and coordinate with clinical teams to provide care coordination.
• Manage non-clinical needs of members with chronic illnesses or disabilities to ensure cost-effective utilization of LTSS.
• Document member goals in collaboration with care teams, including caregivers and providers.
• Identify members who may benefit from alternative service levels or other waiver programs.
• May mentor or train new staff and participate in process improvement initiatives.
• Submit utilization/authorization requests aligned with the member’s care plan.
• Report critical incidents to internal and external parties per policy.
• Assist with appeals, grievances, state audits, and related processes.

Skills

Interpersonal skills

Motivational interviewing

Education

BA/BS degree

Job description

Elevance Health is seeking a LTSS Service Coordinator to manage a defined caseload and lead the Person Centered Planning process. This field-based role involves assessments, PCSP development, and interfacing with Medical Directors for integrated care planning.

You will collaborate with the member and support network to document goals and coordinate LTSS, BH, and PH needs in compliance with state and contract requirements.