LTSS Service Coordinator; Case Manager

LTSS Service Coordinator (Case Manager)

Hiring statewide across Ohio. Must reside in the state of Ohio.

Location:

This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as required, with occasional office attendance for meetings or training. Alternate locations may be considered if candidates reside within a commuting distance from an office.

The MyCare Ohio health plan delivers high‑quality, trauma‑informed, culturally competent, person‑centered coordination for all members, addressing physical health, behavioral health, long‑term services and supports, and psychosocial needs.

The LTSS Service Coordinator manages service coordination for a designated caseload in specialized programs, collaborates with individuals to lead the Person Centered Planning process, documents preferences, needs, and goals, conducts assessments, creates comprehensive Person Centered Support Plans (PCSP), and develops backup plans. The coordinator works with Medical Directors and participates in interdisciplinary care rounds to establish an integrated care plan and oversees management of physical health, behavioral health, and long‑term services, adhering to state and federal regulations.

• Perform face‑to‑face program assessments using various tools with pre‑defined questions for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual’s waiver (such as LTSS/IDD), and BH or PH needs.
• Use tools and pre‑defined identification process to identify members with potential clinical health care needs, including high‑risk complications or gaps in care, and coordinate those members’ cases as the single point of contact with clinical healthcare management and the interdisciplinary team to provide care coordination support.
• Manage non‑clinical needs of members with chronic illnesses, co‑morbidities, or disabilities to ensure cost‑effective and efficient utilization of long‑term services and supports.
• Document members’ short and long‑term service and support goals in collaboration with the chosen care team—caregivers, family, natural supports, service providers, and physicians—and identify members who would benefit from an alternative level of service or other waiver programs.
• Serve as a mentor, subject‑matter expert, or preceptor for new staff, assist in formal training of associates, and participate in process improvement initiatives.
• Submit utilization/authorization requests to utilization management with documentation supporting and aligning with the individual’s care plan.
• Report critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement).
• Assist and participate in appeals, fair hearings, member grievances, and state audits.

• BA/BS degree and a minimum of 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.

Salary range: $26.19 per hour to $32.75 per hour, based on location and experience.

• Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (subject to eligibility requirements).

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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.