LTSS Service Coordinator managing service coordination functions for individuals in specialized programs. Conducting assessments and facilitating care planning as part of a healthcare team.
Responsibilities
Responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs
Facilitate the Person Centered Planning process
Conduct assessments and develop comprehensive Person Centered Support Plan (PCSP)
Interface with Medical Directors and participate in interdisciplinary care rounds
Engage the member’s circle of support and manage physical health/behavioral health/LTSS needs
Perform face to face program assessments
Identify members with potential clinical health care needs and coordinate their cases
Manage non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities
Document short and long-term service and support goals in collaboration with care team
Identify members that would benefit from an alternative level of service or other waiver programs
Mentor, assist in training new staff, and involve in process improvement initiatives
Submit utilization/authorization requests to utilization management
Requirements
Requires BA/BS degree
Minimum of 2 years of experience working with a social work agency
Bilingual in English/Spanish strongly preferred
LTSS, case management, social work or hospital discharge planning experience preferred
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