CareBridge
LTSS Service Coordinator
role at
CareBridge
This position will serve the Green, Hamilton, Knox, Davidson, Montgomery, Williamson, or Rutherford Counties in TN.
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.
Hybrid/Virtual Policy:
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:
Perform 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.
Use tools and pre‑defined identification process, identify members with potential clinical health care needs (including, but not limited to, potential for high‑risk complications, address gaps in care) and coordinate those member's cases (serving as the single point of contact) with clinical healthcare management and interdisciplinary team to provide care coordination support.
Manage 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, document 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.
Identify 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.
Submit 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).
Assist and participate in appeal or fair hearings, member grievances, appeals, and state audits.
Minimum Requirements:
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.
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.
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. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. 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.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr
role at
CareBridge
This position will serve the Green, Hamilton, Knox, Davidson, Montgomery, Williamson, or Rutherford Counties in TN.
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.
Hybrid/Virtual Policy:
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:
Perform 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.
Use tools and pre‑defined identification process, identify members with potential clinical health care needs (including, but not limited to, potential for high‑risk complications, address gaps in care) and coordinate those member's cases (serving as the single point of contact) with clinical healthcare management and interdisciplinary team to provide care coordination support.
Manage 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, document 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.
Identify 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.
Submit 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).
Assist and participate in appeal or fair hearings, member grievances, appeals, and state audits.
Minimum Requirements:
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.
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.
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. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. 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.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr