LTSS Transition Concierge Coordinator

Anticipated End Date:

Position Title:

Job Description:

The LTSS Transition Concierge Coordinator is responsible for supporting the LTSS Transition Coordinator (or contracted provider) in contributing to the components of the person-centered planning process within Transitions of Care for individuals enrolled in specialized programs as required by applicable state law and contract and federal requirements. Supports in the development monitoring and assessment of changes during any transitions of care into the Service Coordination forms and tools such as the individuals Person-Centered Support Plan (PCSP) in accordance with members needs.Supports individuals in meeting their established goals in the setting of their choice and accessing quality health care services and supports.

How you will make an impact:

• Responsible for performing telephonic and/or virtual outreach to individuals in specialized programs providers or other key stakeholders to support the efficacy of the care plan and/or to align with contractual requirements for member outreach such as coordination and management of an individuals LTSS waiver behavioral health or physical health needs.

• Responsible for in-person visits as needed to accommodate business need.

• Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individuals care plan.

• Utilizes tools and pre-defined identification process consults with the primary service coordinator to monitor the PCSP in instances in which a risk is identified related to the members LTSS physical or behavioral health supports (including but not limited to potential for high-risk complications).

• Engages the primary service coordinator and other clinical healthcare management and interdisciplinary teams to provide care coordination support.

• Manages non-clinical needs of members with chronic illnesses co-morbidities and/or disabilities to ensure cost effective and efficient utilization of long-term services and supports.

• At the direction of the member documents their short- and long-term service and support goals in collaboration with the members chosen care team that may include caregivers family natural supports 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 formal training of associates and may be involved in process improvement initiatives.

• 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.

Preferred Skills Capabilities and Experiences:

• Strong computer skills to include Excel Outlook and Electronic Medical Records highly preferred.

• BA/BS degree field of study in health care related field preferred.

• Strong preference for case management experience with older adults or individuals with disabilities.

• Specific education years and type of experience may be required based upon state law and contract requirements preferred.

For candidates working in person or virtually in the below location(s) the salary* range for this specific position is $23.77/hr- to $29.72/hr.

Locations: Cleveland OH & Columbus OH

In addition to your salary Elevance Health offers benefits such as a comprehensive benefits package incentive and recognition programs equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender race or any other category protected by federal state and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location work experience education and/or skill level. Even within the range the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned vested and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus commission benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.

Job Level:

Workshift:

Job Family:

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 market-competitive 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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 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.