LTSS Service Coordinator overseeing service coordination for individuals in specialized programs at Elevance Health. Engaging with clients and support networks, ensuring care management and compliance with requirements.
Responsibilities
Conducting service coordination functions for a defined caseload of individuals in specialized programs.
Facilitates the Person Centered Planning process that documents the member’s preferences, needs and self-identified goals.
Conducts assessments, develops a comprehensive Person Centered Support Plan (PCSP) and backup plan.
Interfacing with Medical Directors and participating in interdisciplinary care rounds.
Engaging the member’s circle of support for overall management of their needs.
Perform face to face program assessments for identification, applying motivational interviewing techniques.
Coordinate and manage individual’s waiver and BH or PH needs.
Identify members with potential clinical health care needs and coordinate those member’s cases.
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.
Identify members that would benefit from an alternative level of service or other waiver programs.
May serve as mentor, subject matter expert or preceptor for new staff.
Requirements
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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