LTSS Service Coordinator - Eastern Iowa

LTSS Service Coordinator

The candidate must reside in one of the below locations.

• Wapello
• Tama
• Jasper
• Marion
• Lucas
• Wayne
• Fayette
• Black Hawk
• Buchanan
• Dubuque
• Johnson
• Louisa
• Muscatine
• Monroe
• Des Moines
• Jefferson
• Howard
• Benton
• Washington

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. This approach ensures flexibility, responsiveness to client needs, and direct, hands‑on engagement. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The 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, the coordinator 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.

The coordinator engages the member’s circle of support and overall manages the individual’s physical health (PH), behavioral health (BH), and LTSS needs as required by applicable state law, contract, and federal requirements.

• 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 a pre‑defined identification process to identify members with potential clinical health care needs (including, but not limited to, potential for high‑risk complications, and addressing gaps in care) and coordinate those members’ cases (serving 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 members’ short‑ and long‑term service and support goals in collaboration with the member’s chosen care team, which may include caregivers, family, natural supports, service providers, and physicians.
• Identify members that would benefit from an alternative level of service or other waiver programs.
• Serve as a mentor, subject matter expert, or preceptor for new staff, assisting in the formal training of associates, and may 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 (Adult Protective Services, Law Enforcement).
• Assist and participate in appeals or fair hearings, member grievances, appeals, and state audits.
• Travel to work sites and other locations as necessary.

• 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 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 with a field of study in a health‑care related field preferred.

Elevance Health offers a range of market‑competitive total rewards that include merit increases, paid holidays, paid time off, incentive bonus programs, medical, dental, vision, short‑ and long‑term disability…