LTSS Service Coordinator

The Elevance Health Companies, Inc.; Nashville (TN); On-site; USD 45,000 - 60,000; Full time

Job summary

The Elevance Health Companies, Inc. is seeking an LTSS Service Coordinator for a field-based role serving Williamson County, TN. This position involves conducting service coordination for individuals with specialized needs, requiring strong communication and management skills.

The ideal candidate will have at least a BA/BS degree along with a minimum of 2 years experience in a social work agency. Travel to client sites is required, alongside various duties including assessments and documentation.

Qualifications

• Minimum 2 years of experience working with a social work agency.
• Ability to travel to work sites.

Responsibilities

• Conduct face-to-face program assessments.
• Manage clinical and non-clinical needs of members.
• Document service and support goals.

Skills

Service coordination

Motivational interviewing

Clinical health care coordination

Education

BA/BS degree

Job description

LTSS Service Coordinator

This field‑based role serves Williamson County, TN and requires travel to client sites. Occasional office attendance for meetings or training is required.

Responsibilities

The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs:

• Conduct face‑to‑face program assessments using pre‑defined tools.
• Apply motivational interviewing techniques for evaluations, coordination, and management of individual waivers such as LTSS/IDD, BH, or PH needs.
• Identify and coordinate clinical health care needs, serving as the single point of contact with clinical and interdisciplinary teams.
• Manage non‑clinical needs of members with chronic illnesses, co‑morbidities, or disabilities to ensure efficient and cost‑effective utilization of long‑term services and supports.
• Document short‑ and long‑term service and support goals in collaboration with the member’s chosen care team, which may include caregivers, family, natural supports, service providers, and physicians.
• Identify members that would benefit from an alternative level of service or other waiver programs.
• Serve as mentor, subject matter expert, or preceptor for new staff and assist in formal training of associates.
• Submit utilization/authorization requests to utilization management with supporting documentation aligned to the care plan.
• Report critical incidents to appropriate internal and external parties, including state and county agencies such as Adult Protective Services and law enforcement.
• Assist and participate in appeals, fair hearings, member grievances, and state audits.

Minimum Requirements

• BA/BS degree and a minimum of 2 years of experience working with a social work agency, or an equivalent combination of education and experience as required by state law and contract.

Preferred Skills and Experience

• BA/BS degree in a health care related field.
• Willingness and ability to travel to work sites and other locations as necessary.

Job Information

Job Level: Non‑Management; Job Family: Medical Operations & Support (Non‑Licensed).

Equal Employment Opportunity

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.