LTSS Service Coordinator; Case Manager - Daviess

LTSS Service Coordinator (Case Manager)

Location:

Seeking candidates to work in Daviess, Indiana. Please note that per our 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.

Field:
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.

The LTSS Service Coordinator (Case Manager) is responsible for conducting service coordination functions for a defined caseload of individuals in the IN Pathways for Aging program. 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), interfacing with Medical Directors, and participating in interdisciplinary care rounds to support development of a fully integrated care plan.

The role also 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 and pre‑defined questions for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual’s waiver (e.g., LTSS/IDD), 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 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, comorbidities, or disabilities to ensure cost‑effective and efficient utilization of long‑term services and supports.
• At the direction of the member, document 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, 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 or 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 which would provide an equivalent background.

• Experience working with older adults in care management, provider, or other capacity (highly preferred).
• Experience managing a community and/or facility‑based care management caseload (highly preferred).
• BA/BS degree in a health‑care related field (preferred).
• Willingness to travel to worksites 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.