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LTSS Service Coordinator – Case Manager, Region B: Citrus/Duval/Hernando/Lake
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 Person Centered Planning for individuals with diverse health needs. Proficient in conducting assessments, developing support plans, and engaging 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 DocumentationInterdisciplinary Care CoordinationCrisis Incident ReportingUtilization Management
Soft Skills
MentoringTrainingCommunication
Certifications & Qualifications
BA/BS Degree
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' circles of support and manage physical health, behavioral health, and LTSS needs
- Perform face-to-face program assessments using tools with pre-defined questions
- Apply motivational interviewing techniques for evaluations, coordination, and management of waiver and behavioral or physical health needs
- Identify members with potential clinical healthcare needs and coordinate 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 would benefit from alternative service levels or other waiver programs
- Mentor, train, or serve as subject matter expert or preceptor for new staff
- Participate in process improvement initiatives
- Submit utilization and authorization requests with supporting care-plan documentation
- Report critical incidents to internal and external parties, including state and county agencies
- Assist with appeals, fair hearings, member grievances, appeals, and state audits
Requirements
What you’ll need- Requires 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 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 County (Region B)
- Bilingual in Spanish/English
- LTSS, case management, social work or hospital discharge planning experience preferred
- BA/BS degree field of study in health care related field preferred
- 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
- Ability to work Monday-Friday, 8am-5pm EST
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
- COVID-19 and Influenza vaccination requirements for certain patient/member-facing roles