Elevance Health
LTSS Family Care‑Service Coordinator
Elevance Health
$5,000 Sign‑On Bonus
Hiring near Southwestern Wisconsin (counties: Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green)
LTSS Service Coordinator (Case Manager) 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.
Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the Family Care Program. Family Care is a Wisconsin long‑term care program for older adults and adults with disabilities. Our goal is that each member will experience the life they choose with supports to maximize independent living, employment, and contributing to their communities.
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 the 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 and 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) for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as Family Care Partnership), and BH or PH needs.
Use tools and pre‑defined identification process to identify members with potential clinical health care needs (including, but not limited to, potential for high‑risk complications, addresses gaps in care) and coordinate those member's cases (serving as the single point of contact) with the clinical health care 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.
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
Requires 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.
Job Details Seniority Level : Entry level
Employment Type : Full‑time
Job Function : Other
Industries : Individual and Family Services
Referrals increase your chances of interviewing at Elevance Health by 2x.
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
$5,000 Sign‑On Bonus
Hiring near Southwestern Wisconsin (counties: Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green)
LTSS Service Coordinator (Case Manager) 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.
Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the Family Care Program. Family Care is a Wisconsin long‑term care program for older adults and adults with disabilities. Our goal is that each member will experience the life they choose with supports to maximize independent living, employment, and contributing to their communities.
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 the 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 and 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) for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as Family Care Partnership), and BH or PH needs.
Use tools and pre‑defined identification process to identify members with potential clinical health care needs (including, but not limited to, potential for high‑risk complications, addresses gaps in care) and coordinate those member's cases (serving as the single point of contact) with the clinical health care 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.
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
Requires 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.
Job Details Seniority Level : Entry level
Employment Type : Full‑time
Job Function : Other
Industries : Individual and Family Services
Referrals increase your chances of interviewing at Elevance Health by 2x.
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