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LTSS Service Coordinator – Case Manager, Region C: Pasco/Pinellas
Elevance Health. Conduct service coordination functions for a defined caseload of individuals in specialized programs .
About the role
Key responsibilities & impact- Conduct service coordination functions for a defined caseload of individuals in specialized programs
- Facilitate Person Centered Planning 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 predefined tools and questions
- Apply motivational interviewing techniques for evaluations, coordination, and waiver or behavioral/physical health needs management
- Identify members with potential clinical healthcare needs and coordinate cases with clinical healthcare management and interdisciplinary teams
- Manage non-clinical needs of members with chronic illnesses, comorbidities, and 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, train, and support new staff as a subject matter expert or preceptor
- 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- BA/BS degree and a minimum of 2 years of experience working with a social work agency, or an equivalent combination of education and experience
- Specific education, years, and type of experience may be required based upon state law and contract requirements
- Bilingual in English/Spanish strongly preferred
- LTSS, case management, social work, or hospital discharge planning experience preferred
- Candidate must reside in Pasco County or Pinellas County, Florida
- Ability to work Monday-Friday, 8am-5pm EST
- Ability to travel to client sites or designated locations
- Must attend office meetings or training occasionally
- Certain patient/member-facing roles require vaccination 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 insurance
- Dental insurance
- Vision insurance
- Short-term disability benefits
- Long-term disability benefits
- 401(k) with match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Professional and personal growth opportunities
- Vaccination coverage/requirements for certain patient/member-facing roles