LTSS Service Coordinator (Case Manager) Eastern Ohio

The Elevance Health Companies, Inc.; Seven Hills (OH); Hybrid; USD 36,000 - 54,000; Full time

Benefits offered by this job

Hybrid work model

Benefits package

Job summary

Elevance Health is seeking a LTSS Service Coordinator (Case Manager) to perform field-based assessments and coordinate long-term services and supports for members in Ohio. The role involves traveling to client sites, collaborating with clinicians and care teams, and ensuring culturally competent, person-centered coordination.

Minimum BA/BS and at least 2 years with a social work or related agency are required.

Qualifications

• Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency.

Responsibilities

• Conduct face-to-face program assessments and coordinate waiver cases (LTSS/IDD, BH, PH).
• Identify members with potential clinical needs and act as single point of contact with the care team.
• Document member goals with the care team and assist in appeals, grievances, and audits.

Skills

Motivational interviewing

Care coordination

Face-to-face assessments

Mentoring

Education

BA/BS degree

Job description

LTSS Service Coordinator (Case Manager)

Candidates must live in one of the following counties: Cuyahoga Franklin Geauga Huron Lake Lorain Medina Monroe Noble Richland Washington

Location: 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 an accommodation is granted as required by law.

The MyCare Ohio health plan is to deliver high‑quality, trauma informed, culturally competent, person‑centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.

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 LTSS/IDD), 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‑morbidity, 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.
• Identifies members that would benefit from an alternative level of service or other waiver programs.
• 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

• Strong preference for case management experience with older adults or individuals with disabilities.
• BA/BS in Health/Nursing preferred.
• For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $26.19/hr to $39.29/hr.
• Location: Columbus, OH

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

Job Level: Non-Management Non-Exempt

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

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.

The health of our associates and communities is a top priority for Elevance Health.

We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID‑19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.

Elevance Health will also follow all relevant federal, state and local laws.

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.

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.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

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.

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.