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LTSS Service Coordinator, Case Manager
Elevance Health. Manage service coordination for a designated caseload in specialized programs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing service coordination and developing Person Centered Support Plans (PCSP) for individuals with diverse needs, including physical health, behavioral health, and long-term services and supports (LTSS). Proficient in conducting assessments, collaborating with interdisciplinary teams, and navigating state and county agency requirements.
Highest-signal resume keywords
Case Management ExperiencePerson Centered PlanningLTSS/IDD Waiver CoordinationMotivational Interviewing TechniquesAssessment and Evaluation Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Person Centered Support PlansProgram AssessmentsUtilization Authorization RequestsDocumentation of Service GoalsIdentifying Clinical Healthcare NeedsManaging Non-Clinical NeedsProcess Improvement InitiativesCritical Incident ReportingInterdisciplinary Care CoordinationTraining and Mentoring
Soft Skills
CollaborationCommunicationProblem SolvingEmpathyLeadership
Industry Keywords
Long-Term Services and Supports (LTSS)Intellectual and Developmental Disabilities (IDD)Social WorkHealthcare ManagementState AuditsGrievances and AppealsOlder AdultsDisabilitiesCrisis InterventionHealthcare Coordination
About the role
Key responsibilities & impact- Manage service coordination for a designated caseload in specialized programs
- Lead the Person Centered Planning process with individuals
- Document members’ preferences, needs, and goals
- Conduct assessments and create comprehensive Person Centered Support Plans (PCSP)
- Develop backup plans
- Work with Medical Directors and participate in interdisciplinary care rounds
- Establish integrated care plans addressing physical health, behavioral health, LTSS, and psychosocial needs
- Engage members’ support networks and oversee service coordination
- Perform face-to-face program assessments and evaluations
- Coordinate and manage members’ LTSS/IDD waivers and behavioral or physical health needs
- Serve as the single point of contact with clinical healthcare management and interdisciplinary teams
- Identify members with potential clinical healthcare needs and coordinate their cases
- Manage non-clinical needs to ensure cost-effective and efficient utilization of LTSS
- Collaborate with members, caregivers, family, natural supports, service providers, and physicians
- Identify members who may benefit from alternative service levels or waiver programs
- Mentor, train, or serve as subject matter expert/preceptor for new staff
- Participate in process improvement initiatives
- Submit utilization and authorization requests
- Report critical incidents to internal and external parties, including state and county agencies
- Participate in appeals, fair hearings, grievances, and state audits
Requirements
What you’ll need- Candidates must live in one of the following Ohio counties: Cuyahoga, Franklin, Geauga, Huron, Lake, Lorain, Medina, Monroe, Noble, Richland, Washington, Tuscarawas, Carroll, Harrison, Crawford, Seneca, Marion, Coshocton, or Stark
- BA/BS degree
- Minimum of 2 years of experience working with a social work agency
- Any combination of education and experience providing an equivalent background
- Strong preference for case management experience with older adults or individuals with disabilities
- BA/BS in Health/Nursing preferred
- Ability to conduct face-to-face program assessments using predefined questions
- Knowledge of motivational interviewing techniques
- Experience coordinating and managing LTSS/IDD waivers and behavioral or physical health needs
- Ability to identify potential clinical healthcare needs and gaps in care
- Ability to manage non-clinical needs of members with chronic illnesses, comorbidities, and/or disabilities
- Ability to document service and support goals and develop person-centered support plans
- Ability to submit utilization/authorization requests with supporting documentation
- Ability to report critical incidents to state and county agencies
- Ability to participate in appeals, fair hearings, member grievances, and state audits
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza unless an acceptable explanation is provided
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution and match
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical, dental, and vision benefits
- Short- and long-term disability benefits
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- COVID-19 and Influenza vaccination coverage/requirement for certain roles
- Hybrid workforce strategy and flexible field-based work arrangement
- Professional and personal growth opportunities