Field LTSS Service Coordinator | Care Team Leader

Elevance Health, Inc.; Kenosha (WI); Hybrid; USD 65,000 - 85,000; Full time

Job summary

Elevance Health is seeking a LTSS Service Coordinator (Case Manager) to support a defined caseload in Wisconsin. This field-based role requires travel to client sites and a mix of in-office training when needed, aligning with our hybrid-work approach.

You will conduct assessments, develop Person Centered Support Plans, coordinate with medical directors and an interdisciplinary team, and help members achieve goals while managing PH/BH/LTSS needs. BA/BS and 2 years in social work required.

Qualifications

• Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency.
• Performs face-to-face program assessments and uses motivational interviewing techniques.
• Coordinates waivers (e.g., Family Care Partnership) and manages PH/BH/LTSS needs per contract and state requirements.
• Travels to client sites and other locations as necessary to support field-based care coordination.

Responsibilities

• Conduct face-to-face program assessments with predefined questions.
• Identify members with potential clinical health care needs and coordinate with the clinical team.
• Manage non-clinical needs to ensure cost-effective LTSS utilization.
• Document goals in collaboration with the member and care team.
• Mentor or precept new staff and participate in process improvement.
• Submit utilization/authorization requests with supporting documentation.
• Report critical incidents to state/county agencies as required.
• Assist with appeals, grievances, and state audits.

Skills

Motivational interviewing

Face-to-face assessments

Care coordination

Field-based travel

Interdisciplinary collaboration

Education

BA/BS degree

Tools

EHR software

Job description

Elevance Health is seeking a LTSS Service Coordinator (Case Manager) to support a defined caseload in Wisconsin. This field-based role requires travel to client sites and a mix of in-office training when needed, aligning with our hybrid-work approach.

You will conduct assessments, develop Person Centered Support Plans, coordinate with medical directors and an interdisciplinary team, and help members achieve goals while managing PH/BH/LTSS needs. BA/BS and 2 years in social work required.