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LTSS Service Coordinator – Case Manager
Elevance Health. Conduct service coordination functions for a defined caseload of individuals in specialized programs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in service coordination, case management, and the Person Centered Planning process, with a strong focus on managing both clinical and non-clinical needs of individuals. Proficient in conducting assessments, developing support plans, and engaging with interdisciplinary teams to enhance member care.
Highest-signal resume keywords
Person Centered PlanningCase ManagementMotivational InterviewingBilingual in Spanish/EnglishLTSS Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Assessment DevelopmentSupport Plan CreationUtilization ManagementDocumentation of Service GoalsInterdisciplinary Team Coordination
Soft Skills
MentoringCommunicationProblem Solving
Certifications & Qualifications
BA/BS DegreeCOVID-19 VaccinationInfluenza Vaccination
Industry Keywords
Social WorkHealthcare ManagementChronic Illness ManagementBehavioral HealthMember Grievances
About the role
Key responsibilities & impact- Conduct service coordination functions for a defined caseload of individuals in specialized programs
- Facilitate the Person Centered Planning process with supported individuals
- Conduct assessments and develop comprehensive Person Centered Support Plans and backup plans
- Interface with Medical Directors and participate in interdisciplinary care rounds
- Engage members’ support circles and manage physical health, behavioral health, and LTSS needs
- Perform face-to-face program assessments using tools with predefined questions
- Apply motivational interviewing techniques for evaluations, coordination, and management of waiver, behavioral health, and physical health needs
- Identify potential clinical healthcare needs and gaps in care
- Coordinate member cases as the single point of contact with clinical healthcare management and interdisciplinary teams
- Manage non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities
- Document short- and long-term service and support goals with members’ chosen care teams
- Identify members who may benefit from alternative service levels or waiver programs
- Mentor, serve as subject matter expert or preceptor, and assist with formal training of associates
- Participate in process improvement initiatives
- Submit utilization/authorization requests with documentation aligned to care plans
- Report critical incidents to internal and external parties, including state and county agencies
- Assist with and participate in appeals, fair hearings, member grievances, appeals, and state audits
Requirements
What you’ll need- 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
- Specific education, years, and type of experience may be required based upon state law and contract requirements
- Candidate must reside in Charlotte, Collier, Desoto, Hendry, Glades, Lee, or Sarasota County
- Ability to work Monday-Friday, 8am-5pm EST
- Bilingual in Spanish/English
- Experience with LTSS, case management, social work, or hospital discharge planning preferred
- BA/BS degree in a health care related field preferred
- Candidates must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
- 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- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Hybrid workforce strategy
- Vaccination coverage/requirement for certain patient/member-facing roles