LTSS Service Coordinator - Case Manager PascoPinellas County
LTSS Service Coordinator - Case Manager PascoPinellas County
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Job Description
Anticipated End Date:
Position Title:
LTSS Service Coordinator Case Manager (Pasco/Pinellas County)Job Description:
LTSS Service Coordinator
Location:This is primarily a field based position. Candidate would need to reside in one of the following counties: Pasco or Pinellas County
Schedule: MondayFriday 8am5pm EST
The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. In collaboration with the person supported facilitates the Person Centered Planning process that documents the members preferences needs and selfidentified goals including but not limited to conducting assessments development of a comprehensive Person Centered Support Plan (PCSP) and backup plan interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan engaging the members circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs as required by applicable state law and contract and federal requirements.
How you will make an impact:
Responsible for performing face to face program assessments (using various tools with predefined questions) for identification applying motivational interviewing techniques for evaluations coordination and management of an individuals waiver (such as LTSS/IDD) and BH or PH needs.
Uses tools and predefined identification process identifies members with potential clinical health care needs (including but not limited to potential for highrisk complications addresses gaps in care) and coordinates those members cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
Manages nonclinical needs of members with chronic illnesses comorbidities and/or disabilities to ensure cost effective and efficient utilization of longterm services and supports.
At the direction of the member documents their short and longterm service and support goals in collaboration with the members chosen care team that may include caregivers family natural supports service providers and physicians.
Identifies members that would benefit from an alternative level of service or other waiver programs.
May also serve 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.
Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individuals care plan.
Responsible for reporting critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services Law Enforcement).
Assists and participates in appeal or fair hearings member grievances appeals and state audits.
Minimum Requirements:
Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency; or any combination of education and experience which would provide an equivalent background.
Specific education years and type of experience may be required based upon state law and contract requirements.
Preferred Skills Capabilities and Experiences:
Bilingual in English/ Spanish strongly preferred.
BA/BS degree field of study in health care related field preferred.
Longterm care experience preferred.
Job Level:
NonManagement NonExemptWorkshift:
Job Family:
MED > Medical Ops & Support (NonLicensed)Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success for our consumers our associates our communities and our business.
We offer a range of marketcompetitive total rewards that include merit increases paid holidays Paid Time Off and incentive bonus programs (unless covered by a collective bargaining agreement) medical dental vision short and long term disability benefits 401(k) match stock purchase plan life insurance wellness programs and financial education resources to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Required Experience:
Manager
Employment Type
Full-Time
