Elevance Health
LTSS Service Coordinator (Case Manager)
$5,000 Sign‑on Bonus
Location: This field‑based role primarily operates in southwestern Wisconsin, serving clients in the following counties: Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, and Green. The position may require occasional office attendance for meetings or training. Candidates must be within a reasonable commuting distance from the posting location(s) unless an accommodation is provided as required by law.
Anthem is excited to offer the Family Care Program, a Wisconsin long‑term care program that empowers older adults and adults with disabilities to live independently, work, and contribute to their communities. The LTSS Service Coordinator conducts case‑management services for a defined caseload of individuals in specialized programs, facilitating Person‑Centered Planning, developing comprehensive support plans, coordinating care with medical directors and interdisciplinary teams, and managing the individuals’ physical health, behavioral health, and LTSS needs.
How You Will Make An Impact
Perform face‑to‑face program assessments, applying motivational interviewing techniques and coordinating individual waivers (e.g., Family Care Partnership).
Identify members with clinical health needs, coordinate care with clinical healthcare management, and serve as the single point of contact for the interdisciplinary team.
Manage 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.
Document short‑ and long‑term service and support goals with the member’s chosen care team, which may include caregivers, family, natural supports, service providers, and physicians.
Serve as a mentor, subject‑matter expert, or preceptor for new staff and participate in process‑improvement initiatives.
Submit utilization/authorization requests to utilization management with documentation supporting the individual’s care plan.
Report critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement).
Assist and participate in appeals 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 an equivalent combination of education and experience.
Preferred Skills, Capabilities and Experiences
BA/BS degree in a health‑care related field.
Assisted living or social work experience.
Waiver experience.
Comfortable using technology.
Travels to work sites 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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Location: This field‑based role primarily operates in southwestern Wisconsin, serving clients in the following counties: Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, and Green. The position may require occasional office attendance for meetings or training. Candidates must be within a reasonable commuting distance from the posting location(s) unless an accommodation is provided as required by law.
Anthem is excited to offer the Family Care Program, a Wisconsin long‑term care program that empowers older adults and adults with disabilities to live independently, work, and contribute to their communities. The LTSS Service Coordinator conducts case‑management services for a defined caseload of individuals in specialized programs, facilitating Person‑Centered Planning, developing comprehensive support plans, coordinating care with medical directors and interdisciplinary teams, and managing the individuals’ physical health, behavioral health, and LTSS needs.
How You Will Make An Impact
Perform face‑to‑face program assessments, applying motivational interviewing techniques and coordinating individual waivers (e.g., Family Care Partnership).
Identify members with clinical health needs, coordinate care with clinical healthcare management, and serve as the single point of contact for the interdisciplinary team.
Manage 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.
Document short‑ and long‑term service and support goals with the member’s chosen care team, which may include caregivers, family, natural supports, service providers, and physicians.
Serve as a mentor, subject‑matter expert, or preceptor for new staff and participate in process‑improvement initiatives.
Submit utilization/authorization requests to utilization management with documentation supporting the individual’s care plan.
Report critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement).
Assist and participate in appeals 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 an equivalent combination of education and experience.
Preferred Skills, Capabilities and Experiences
BA/BS degree in a health‑care related field.
Assisted living or social work experience.
Waiver experience.
Comfortable using technology.
Travels to work sites 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