Elevance Health
LTSS Family Care-Service Coordinator
Elevance Health, Prairie Du Chien, Wisconsin, United States, 53821
2 days ago Be among the first 25 applicants
LTSS Service Coordinator (Case Manager)
$5,000 Sign-on Bonus
Hiring near Southwestern Wisconsin in counties:
Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green.
Location : This field‑based role enables associates to primarily operate in the field, traveling to client sites or designated locations as required, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands‑on engagement. 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
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, the Coordinator facilitates the Person Centered Planning process that documents the member's preferences, needs and self‑identified goals, including but not limited to conducting assessments, developing 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 individual's physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law, contract, and federal requirements.
How You Will Make An Impact
Responsible for performing face‑to‑face program assessments (using various tools with pre‑defined questions) to identify and coordinate an individual's waiver (such as Family Care Partnership), and BH or PH needs.
Uses tools and pre‑defined identification process, identifies members with potential clinical health care needs (including high‑risk complications and gaps in care) and coordinates those members' cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team to provide care coordination support.
Manages non‑clinical needs of members with chronic illnesses, comorbidities, 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, which may include caregivers, family, natural supports, service providers, and physicians.
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 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
BA/BS degree in a health care related field preferred.
Assisted living or social work experience preferred.
Waiver experience preferred.
Comfortable using technology preferred.
Travels to worksite and other locations as necessary.
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.
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LTSS Service Coordinator (Case Manager)
$5,000 Sign-on Bonus
Hiring near Southwestern Wisconsin in counties:
Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green.
Location : This field‑based role enables associates to primarily operate in the field, traveling to client sites or designated locations as required, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands‑on engagement. 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
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, the Coordinator facilitates the Person Centered Planning process that documents the member's preferences, needs and self‑identified goals, including but not limited to conducting assessments, developing 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 individual's physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law, contract, and federal requirements.
How You Will Make An Impact
Responsible for performing face‑to‑face program assessments (using various tools with pre‑defined questions) to identify and coordinate an individual's waiver (such as Family Care Partnership), and BH or PH needs.
Uses tools and pre‑defined identification process, identifies members with potential clinical health care needs (including high‑risk complications and gaps in care) and coordinates those members' cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team to provide care coordination support.
Manages non‑clinical needs of members with chronic illnesses, comorbidities, 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, which may include caregivers, family, natural supports, service providers, and physicians.
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 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
BA/BS degree in a health care related field preferred.
Assisted living or social work experience preferred.
Waiver experience preferred.
Comfortable using technology preferred.
Travels to worksite and other locations as necessary.
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.
#J-18808-Ljbffr