Elevance Health
LTSS Service Coordinator (Case Manager) - Daviess County
Elevance Health, Indiana, Pennsylvania, us, 15705
LTSS Service Coordinator (Case Manager) - Daviess County
Location: Daviess County, Indiana. Candidates must be within reasonable commuting distance unless accommodation is granted as required by law.
The
LTSS Service Coordinator (Case Manager)
is responsible for conducting service coordination functions for a defined caseload of individuals in the IN PathWays for Aging program. Collaborating with the person supported, the coordinator facilitates the Person Centered Planning process, documents member preferences, needs and self-identified goals, conducts assessments, develops comprehensive Person Centered Support Plans (PCSP), interfaces with Medical Directors, participates in interdisciplinary care rounds, and manages physical and behavioral health needs in accordance with applicable state, contract, and federal requirements.
How You Will Make An Impact
Perform face-to-face program assessments using tools with pre-defined questions, applying motivational interviewing techniques for evaluations, coordination, and management of individual waivers such as LTSS/IDD, behavioral health or physical health needs.
Identify members with potential clinical health care needs, coordinate care with the clinical healthcare management and interdisciplinary team, and serve as single point of contact to provide care coordination support.
Manage non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective utilization of long-term services and supports.
Document short and long-term service and support goals in collaboration with the member’s chosen care team including caregivers, family, natural supports, service providers, and physicians.
Identify members who would benefit from alternative levels of service or other waiver programs.
Serve as mentor, subject matter expert, or preceptor for new staff; assist in formal training and participate in process improvement initiatives.
Submit utilization/authorization requests to utilization management with documentation supporting and aligning with the individual’s care plan.
Report critical incidents to appropriate internal and external parties such as state and county agencies.
Assist with appeals, 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 equivalent combination of education and experience.
Preferred Skills, Capabilities and Experiences
Experience working with older adults in care management, provider or other capacity.
Experience managing a community and/or facility-based care management caseload.
BA/BS degree in a health care related field.
Travel 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.
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The
LTSS Service Coordinator (Case Manager)
is responsible for conducting service coordination functions for a defined caseload of individuals in the IN PathWays for Aging program. Collaborating with the person supported, the coordinator facilitates the Person Centered Planning process, documents member preferences, needs and self-identified goals, conducts assessments, develops comprehensive Person Centered Support Plans (PCSP), interfaces with Medical Directors, participates in interdisciplinary care rounds, and manages physical and behavioral health needs in accordance with applicable state, contract, and federal requirements.
How You Will Make An Impact
Perform face-to-face program assessments using tools with pre-defined questions, applying motivational interviewing techniques for evaluations, coordination, and management of individual waivers such as LTSS/IDD, behavioral health or physical health needs.
Identify members with potential clinical health care needs, coordinate care with the clinical healthcare management and interdisciplinary team, and serve as single point of contact to provide care coordination support.
Manage non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective utilization of long-term services and supports.
Document short and long-term service and support goals in collaboration with the member’s chosen care team including caregivers, family, natural supports, service providers, and physicians.
Identify members who would benefit from alternative levels of service or other waiver programs.
Serve as mentor, subject matter expert, or preceptor for new staff; assist in formal training and participate in process improvement initiatives.
Submit utilization/authorization requests to utilization management with documentation supporting and aligning with the individual’s care plan.
Report critical incidents to appropriate internal and external parties such as state and county agencies.
Assist with appeals, 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 equivalent combination of education and experience.
Preferred Skills, Capabilities and Experiences
Experience working with older adults in care management, provider or other capacity.
Experience managing a community and/or facility-based care management caseload.
BA/BS degree in a health care related field.
Travel 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.
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