Strategic Engagement Manager overseeing relationships for high - value accounts in healthcare solutions. Developing strategies to drive growth and improve client retention within Zelis.
About the role
- LTSS Service Coordinator responsible for service coordination for individuals in specialized programs. Conducting assessments and supporting the development of integrated care plans based in Florida.
Responsibilities
- Conducting service coordination functions for a defined caseload of individuals in specialized programs
- Facilitating the Person Centered Planning process that documents the member’s preferences, needs and self-identified goals
- Conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan
- Interfacing with Medical Directors and participating in interdisciplinary care rounds
- Supporting the development of a fully integrated care plan
- Engaging the member’s circle of support and overall management of the individuals' physical health (PH)/behavioral health (BH)/LTSS needs
- Performing face to face program assessments, applying motivational interviewing techniques for evaluations, coordination, and management of an individual’s waiver
- Identifying members with potential clinical health care needs and coordinating those member’s cases
- Managing non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities
- Documenting the member's short and long-term service and support goals in collaboration with the member’s chosen care team
- Identifying members that would benefit from an alternative level of service or other waiver programs
- Serving 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
- Submitting utilization/authorization requests to utilization management
- Responsible for reporting critical incidents to appropriate internal and external parties
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.
- BA/BS degree field of study in health care related field preferred
- Bilingual in English/Spanish preferred
- LTSS, case management, social work or hospital discharge planning experience preferred
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) +match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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