STAR+PLUS LTSS Service Coordinator Level 2*

Harris Health; Houston (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

Harris Health is looking for a Service Coordinator (Level 2) in Houston, Texas, to work directly with customers and their families, providing access to health resources in the Long-Term Support and Services program. The candidate will have a strong background in care coordination, advocacy, and case management, ideally with experience in Medicaid Waiver services. This position requires an HS Diploma or Bachelor's in social work, with a minimum of 4 years relevant experience. Responsibilities include assessing needs, managing care plans, and mentoring new staff.

Qualifications

• 4 years of relevant experience required or equivalent educational qualification.
• Preferred degrees include social work or related fields.
• Experience in case management and working with the ABD/SSI population.

Responsibilities

• Develop care strategies tailored to individual member needs.
• Initiate referrals to social service programs.
• Manage care plans and communicate health-related information.
• Conduct clinical assessments and coordinate high-risk member care.
• Mentor new staff and participate in audits.

Skills

Assessment and planning

Care coordination

Advocacy skills

Communication

Education

HS Diploma or GED with 4 years relevant experience

Bachelor's in social work or a related field

Tools

Microsoft Office

Clinical Documentation Platforms

Job description

Job Summary

The Star+Plus (LTSS) Service Coordinator (SC) Level 2 will work directly with customers, their families and/or advocates to ensure that the member has access to Community Health Choice (CHC) resources offered through the Long-Term Support and Services (LTSS) Program. The SC works collaboratively with the RN case manager to support, promote, and facilitate engagement in the LTSS Case Management Program. The SC will work as a bridge between the customer, the health plan, and the Community based Organizations to create a seamless and positive experience to fulfill their unmet care needs. The SC will build individual capacity by increasing health and wellness self-management skills and sufficiency through a series of activities such as outreach, education, encouragement, social supports, and advocacy.

Essential Functions

• Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care.
• Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services.
• Manage the care plan throughout the continuum of care as a single point of contact.
• Communicate with all stakeholders the required health‑related information to ensure quality coordinated care and services are provided expeditiously to all members.
• Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team.
• Performs telephonic or face‑to‑face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long‑term services and supports.
• Identifies members for high‑risk complications and coordinates care in conjunction with the member and the health care team.
• Provide input and/or data to direct supervisor/manager related to any internal or external mandatory audit or reporting.
• Serve as mentor, subject matter expert or preceptor to new staff.
• Other duties as assigned.

Minimum Qualifications

• HS Diploma or GED with 4 years relevant experience; OR HS Diploma with qualified IDD certification; OR Bachelor's in social work or a related field; OR LVN, RN, NP, PA required.
• Undergraduate or graduate degree in social work or a related field; OR be an LVN, LSW, LCSW or LMSW preferred.

Work Experience (Years and Area)

• 3 years' experience with the ABD/SSI population in three of the last five years.
• 1 year of case management experience in a managed care setting.
• 1+ years' experience working with Medicaid Waiver services.
• Experience with arranging community resources, field‑based work experience.
• Experience with electronic charting and 1 year of case management experience in a managed care setting.

Software Proficiencies

• Microsoft Office, Clinical Documentation Platforms.