LTSS Service Coordinator-Western Iowa

Overview

LTSS Service Coordinator

Location:

Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a territory based on their location. This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Per policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location will not be considered for employment unless an accommodation is granted as required by law.

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 member s preferences, needs and self-identified 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 member s circle of support and overall management of the individual s physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements.

• Perform face-to-face program assessments using various tools with predefined 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.
• Identify members with potential clinical health care needs and coordinate their cases as the single point of contact with the clinical healthcare management and interdisciplinary team to provide care coordination support.
• Manage 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.
• Document short and long-term service and support goals in collaboration with the member s chosen care team that may include caregivers, family, natural supports, service providers, and physicians.
• Identify members that would benefit from alternative levels of service or other waiver programs.
• May serve as mentor, subject matter expert or preceptor for new staff and be involved 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 (e.g., Adult Protective Services, Law Enforcement).
• Assist and participate in appeals or fair hearings, member grievances, and state audits.
• Travel to worksites and other locations as necessary.

• 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.

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

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.

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