LTSS Service Coordinator; Case Manager

LTSS Service Coordinator (Case Manager)

Company:
Care Bridge

Location:

Field-based role; travel to client sites or designated locations as required, with occasional office attendance for meetings or training.

The LTSS Service Coordinator manages service coordination for a designated caseload in specialized programs, chooses Person-Centered Planning processes, documents preferences, needs, and goals, and collaborates with Medical Directors and interdisciplinary teams to create comprehensive care plans.

• Perform face-to-face program assessments using predefined tools, applying motivational interviewing techniques to coordinate and manage individual waivers (LTSS/IDD) or mental/physical health needs.
• Identify members with potential clinical health care needs and coordinate care with the clinical team to provide care‑coordination support.
• Manage non‑clinical needs of members with chronic illnesses, co‑morbidities, or disabilities, ensuring cost‑effective use of long‑term services and supports.
• Document short and long‑term service goals in collaboration with the member’s chosen care team, including caregivers, family, and service providers.
• Identify members who could benefit from alternative service levels or other waiver programs.
• Serve as mentor or subject‑matter expert for new staff, participate in formal training and process‑improvement initiatives.
• Submit utilization/authorization requests with supporting documentation aligned with the care plan.
• Report critical incidents to appropriate state and county agencies (e.g., Adult Protective Services, law enforcement).
• Assist in appeals, grievances, fair hearings, and state audits.

• BA/BS degree and at least 2 years of experience working with a social‑work agency or an equivalent combination of education and experience.

• Strong preference for case‑management experience with older adults or individuals with disabilities.
• BA/BS in Health or Nursing preferred.

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 elevancehealthj 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.