LTSS Service Coordinator

LTSS Service Coordinator

This role serves Knox or Davidson and surrounding counties in Tennessee, operating field‑based with occasional office attendance. The coordinator conducts service coordination functions for a defined caseload of individuals in specialized programs and manages interdisciplinary care.

• Conduct face‑to‑face program assessments using predefined tools and motivational interviewing techniques to identify and manage individual waiver (LTSS/IDD), behavioral health, or physical health needs.
• Identify members with clinical health care needs, coordinate their cases with the clinical team, and provide care‑coordination support.
• Manage non‑clinical needs of members with chronic illnesses or disabilities, ensuring cost‑effective use of long‑term services and supports.
• Document short and long‑term service and support goals in collaboration with the member’s chosen care team.
• Identify members that may benefit from alternative service levels or other waiver programs.
• Mentor new staff and support formal training of associates; may participate in process improvement initiatives.
• Submit utilization/authorization requests to utilization management, aligning documentation with the individual’s care plan.
• Report critical incidents to appropriate internal and external parties such as state and county agencies.
• Assist and participate in appeals, fair hearings, member grievances, and state audits.

• BA/BS degree and at least 2 years of experience working with a social work agency, or equivalent education and experience based on state law and contract requirements.
• Knowledge of state and federal requirements related to LTSS, behavioral health, and physical health services.

• BA/BS degree in a healthcare‑related field.
• Willingness to travel to work sites and other locations as necessary.

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.