LTSS Service Coordinator (Osceola County, Dickinson County, Clay County, O'Brein County, IA)

Elevance Health (Anthem); Urbandale (IA); Hybride; USD 42 000 - 62 000; Plein temps

Résumé du poste

Elevance Health is seeking a LTSS Service Coordinator to conduct service coordination for individuals in specialized programs. You will document PCSPs, engage the member and support circle, and coordinate with medical directors to create integrated care plans.

You will travel to client sites, prepare backup plans, handle LTSS/BH/PH needs, and support state and contract requirements while maintaining a focus on member-centered outcomes.

Qualifications

• BA/BS degree.
• Minimum of 2 years of experience working with a social work agency or equivalent background.
• Specific education, years, and type of experience may be required based upon state law and contract requirements.

Responsabilités

• Conduct service coordination for a defined caseload of individuals in specialized programs.
• Document the Person Centered Plan (PCSP) and backup plan with member preferences and goals.
• Interface with Medical Directors and participate in interdisciplinary care rounds to support care plans.
• Engage the member's circle of support and manage physical health, behavioral health, and LTSS needs as required.
• Submit utilization/authorization requests with documentation aligned to the care plan.
• Report critical incidents to state/county agencies as required.

Formation

BA/BS degree

Description du poste

Job Title

LTSS Service Coordinator

Location

Osceola County, Dickinson County, O'Brein County, Clay County, IA.

Anticipated End Date

2026-11-13

Field

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.

Hybrid/Virtual Work Policy

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.

Responsibilities

The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. In collaboration with the person supported, facilitates the Person Centered Planning process that documents the member's preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements.

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-morbidities, 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

• BA/BS degree.
• 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.
• Specific education, years, and type of experience may be required based upon state law and contract requirements.

Preferred Skills, Capabilities and Experiences

• BA/BS degree field of study in health care related field preferred.
• Travels to worksite and other locations as necessary.

Job Level

Non-Management Non-Exempt

Job Family

MED > Medical Ops & Support (Non-Licensed)

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.