LTSS Service Coordinator - Eastern Iowa

LTSS Service CoordinatorLocation : Candidates must meet face-to-face with patients in and around the following counties. Candidate will be assigned a territory based on their location.WapelloTamaMarshallFranklinHardinJasperMarionLucasWayneFayetteBlack HawkBuchananDelawareJacksonDubuqueJohnsonLouisaMuscatineMonroeDes MoinesJeffersonHowardBentonScottField : This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands‐on engagement. Candidates must be located within a reasonable commuting distance from the posting location(s) or have an accommodation granted as required by law.Responsibilities : The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. Responsibilities include, but are not limited to:Perform face‐to‐face program assessments using various tools and predefined questions, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as LTSS/IDD), and behavioral or physical health needs.Use tools and identification processes to identify members with potential clinical health care needs, coordinate those members' cases with clinical healthcare management and the interdisciplinary team, and provide care coordination support.Manage non‐clinical needs of members with chronic illnesses, co‐morbidities, or disabilities to ensure cost‐effective utilization of long‐term services and supports.Document short and long‐term service and support goals in collaboration with the member's chosen care team, including caregivers, family, natural supports, service providers, and physicians.Identify members who would benefit from an alternative level of service or other waiver programs.Serve as 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 appeal or fair hearings, member grievances, appeals, and state audits.Travel to worksite and other locations as necessary.Minimum Requirements :Requires a 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.Preferred Skills, Capabilities and Experiences :BA/BS degree in a health care related field preferred.Job Information :Seniority level: Entry levelEmployment type: Full‐timeJob function: Health Care ProviderIndustries: Hospitals and Health CareEqual Employment Opportunity : 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 elevancehealthjobssupport@elevancehealth.com 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.#J-18808-Ljbffr