LTSS Service Coordinator - Case Manager; Region B: Citrus​/Duval​/Hernando​/Lake

Position Title

LTSS Service Coordinator - Case Manager (Region B: Citrus/Duval/Hernando/Lake)

Monday‑Friday 8am‑5pm EST. The position is primarily field‑based and requires the candidate to reside in one of the following counties:
Alachua, Baker, Bradford, Clay, Citrus, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hernando, Lake, Lafayette, Levy, Marion, Nassau, Putnam, St. John's, Sumter, Suwanee, Union, or Volusia. Candidates residing outside these counties must be within a reasonable commuting distance of an office. Hybrid or virtual work is not available unless accommodation is granted as required by law.

As a field‑based coordinator, you will travel to client sites or designated locations as the role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands‑on engagement.

• Conduct service coordination functions for a defined caseload of individuals in specialized programs.
• Facilitate the Person Centered Planning process: assess members, develop a comprehensive Person Centered Support Plan (PCSP) and backup plan.
• Interface with Medical Directors and participate in interdisciplinary care rounds to support the development of an integrated care plan.
• Engage the member’s circle of support and manage overall physical health (PH), behavioral health (BH), and LTSS needs per state law, contract, and federal requirements.
• Perform face‑to‑face program assessments using predefined tools and questions.
• Apply motivational interviewing techniques for evaluations, coordination, and management of individual waivers (LTSS/IDD), BH or PH needs.
• Use pre‑defined identification processes to locate members with potential clinical health care needs and coordinate those cases with clinical healthcare management and the interdisciplinary team.
• Manage non‑clinical needs of members with chronic illnesses, comorbidities, or disabilities to ensure 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, which may include caregivers, family, natural supports, service providers, and physicians.
• Identify members who would benefit from alternative levels of service or other waiver programs.
• Serve as mentor, subject matter expert, or preceptor for new staff and assist in formal training of associates.
• Participate in process improvement initiatives.
• Submit utilization/authorization requests to utilization management with supporting documentation aligned to individual care plans.
• Report critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement).
• Assist in appeals, fair hearings, member grievances, appeals, and state audits.

• BA/BS degree and a minimum of 2 years of experience working with a social work agency; or any combination of education and experience that provides an equivalent background.
• Specific education, years, and type of experience may be required based on state law and contract requirements.

• BA/BS degree in a health‑care related field preferred.
• Bilingual in English/Spanish strongly preferred.
• Experience in LTSS, case management, social work, or hospital discharge planning 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.