LTSS Transition Coordinator
LTSS Transition Coordinator
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Salary Not Disclosed
1 Vacancy
Job Description
Company Information: A healthcare company with corporate office located in Indianapolis Metro area serving more than 100 million people at every stage of health.
Location: This position is primarily remote. Candidates must have an appropriate home workspace and be available for occasional inperson team meetings.
Job Summary: The LTSS Transition Coordinator supports the LTSS Coordinator (or contracted provider) in executing the personcentered planning process during transitions of care for individuals moving between various levels of care.
Job Duties:
Coordinate and manage transitions for individuals moving between different care settings. Including home care assisted living and skilled nursing facilities.
Collaborate with healthcare providers social workers and other stakeholders to ensure a seamless transition process.
Responsible for ensuring the effectiveness of the care plan and complying with contractual requirements for member outreach including coordination and management of individual waivers (such as LTSS/IDD) behavioral health or physical health needs.
Submit utilization/authorization request to utilization management ensuring documents supports and aligns with the individuals care plan.
Utilize tools and a predefined identification process to consult with the primary service coordinator monitoring personalized care and support plan (PCSP) when a risk is identified concerning the members LTSS etc.
Oversees the nonclinical requirements of members with chronic illnesses comorbidities and/or disabilities aiming for costeffective and streamlined utilization of longterm services and supports.
Collaborate with the members chose care team which may consist of caregivers family natural supports and physicians to document their short and longterm service and support objectives as directed by the member.
Identifies members who may benefit from alternative service levels or other waiver programs.
May serve as subject matter expert mentor or preceptor for new staff contributing to formal training programs for associates and potentially engaging in process enhancement endeavors.
Accountable for promptly reporting critical incidents to pertinent internal and external entities including state and county agencies such as Adult Protective Services and Law Enforcement.
Provide support and actively participate in appear or fair hearings member grievances appeals and state audits.
Job Qualifications:
Requires a BA/BS with a minimum of two years working with social work agency LTSS healthcare and/or aged and disability industry experience; or any combination of education and experience which would provide an equivalent background.
Experience managing a community and/or facilitybased care management case load highly preferred.
Experience working from home is a plus.
Required Experience:
IC
Employment Type
Full-Time
