Field LTSS Service Coordinator – Case Manager

Elevance Health, Inc.

Waukesha (WI)

Hybrid

USD 30,000 - 39,000

Full time

14 days+

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Job summary

Elevance Health, Inc. is seeking an LTSS Service Coordinator (Case Manager) to manage a defined caseload in Wisconsin’s Family Care programs.

The role emphasizes field-based coordination, Person Centered Planning, and collaboration with a multidisciplinary team to ensure integrated care for older adults and individuals with disabilities. You will conduct assessments, develop a comprehensive care plan, and engage a member’s circle of support while coordinating health and LTSS needs.

Qualifications

  • BA/BS degree in health care related field preferred.
  • Assisted living or social work experience preferred.
  • Waiver experience preferred.
  • Comfortable using technology preferred.

Responsibilities

  • Perform face-to-face program assessments using predefined questions to identify needs and coordinate care.
  • Identify members with potential clinical health care needs and coordinate cases with the care team.
  • Manage non-clinical needs of members with chronic conditions to ensure cost-effective utilization of LTSS.
  • Document short- and long-term service goals with the member and care team.
  • Serve as mentor or trainer to new staff and participate in process improvement.
  • Submit utilization/authorization requests and align with the member’s care plan.
  • Report critical incidents to relevant state/county agencies and assist with appeals and audits.

Skills

Social work experience
Waiver experience
Tech comfortable
Travel flexibility

Education

BA/BS degree in health care

Job description

Elevance Health, Inc. is seeking an LTSS Service Coordinator (Case Manager) to manage a defined caseload in Wisconsin’s Family Care programs.

The role emphasizes field-based coordination, Person Centered Planning, and collaboration with a multidisciplinary team to ensure integrated care for older adults and individuals with disabilities. You will conduct assessments, develop a comprehensive care plan, and engage a member’s circle of support while coordinating health and LTSS needs.

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