LTSS Service Coordinator – Case Manager
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Plainfield • United States
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About the role
- Conduct service coordination functions for a defined caseload
- Facilitate the Person Centered Planning process
- Conduct assessments and develop comprehensive Person Centered Support Plan (PCSP)
- Interface with Medical Directors and participate in interdisciplinary care rounds
- Engage the member’s circle of support and manage individual’s health needs
- Perform face-to-face program assessments and manage cases
- Document members’ service and support goals
- Submit utilization/authorization requests and report critical incidents
- Assist in appeal or fair hearings as needed
Requirements
- BA/BS degree
- 2 years of experience working with a social work agency
- Experience working with older adults in care management
- Experience managing a community and/or facility-based care management case load
- Preferred: BA/BS degree field of study in health care related field
- Travels to worksite and other locations as necessary.
Benefits
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Applicant Tracking System Keywords
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Hard Skills & Tools
Person Centered Planningcomprehensive Person Centered Support Plan (PCSP)case managementprogram assessmentsutilization requestsauthorization requestscritical incident reporting
Soft Skills
service coordinationinterdisciplinary collaborationmember engagementdocumentation skillsappeal assistance
Certifications
BA/BS degree