LTSS Service Coordinator facilitating person-centered planning and assessments for a defined caseload of individuals. Engaging support systems to manage physical and behavioral health needs in Florida.
Responsibilities
Conducting service coordination functions for a defined caseload of individuals in specialized programs
Facilitate the Person Centered Planning process that documents the member’s preferences, needs and self-identified goals
Conduct assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan
Interface with Medical Directors and participate in interdisciplinary care rounds to support development of a fully integrated care plan
Engage the member’s circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs
Responsible for performing face to face program assessments for identification, applying motivational interviewing techniques for evaluations
Manage non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities
Document the member’s short and long-term service and support goals in collaboration with the member’s chosen care team
Identify members that would benefit from an alternative level of service or other waiver programs
Submit utilization/authorization requests to utilization management with documentation supporting and aligning with the individual’s care plan
Assist and participate in appeal or fair hearings, member grievances, appeals, and state audits.
Requirements
Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency
Specific education, years, and type of experience may be required based upon state law and contract requirements.
Bilingual in English/ Spanish strongly preferred.
LTSS, case management, social work or hospital discharge planning experience preferred.
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