LTSS Administration Service Coordinator - Lead (Region B)

LTSS Administration Service Coordinator - Lead Schedule: Monday - Friday, 8 am - 5 pm EST Location: Must be open to travel up to 2 hours away daily and reside in one of the following counties: Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Nassau, Putnam, St. Johns, Sumter, Suwanee, Union and Volusia. Field: This field‑based role enables associates to primarily operate in the field, traveling to client sites or designated locations as required, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands‑on engagement. Role Overview: The LTSS Administration Service Coordinator - Lead assists management with day‑to‑day activities such as monitoring and prioritizing workflow, reviewing forms for accuracy and timeliness, developing and maintaining policies, training materials and job resources, leading projects and working with cross‑functional teams, and conducting process evaluations and system enhancements. How You Will Make An Impact Responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract; develops, monitors, and revises the member's service plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Perform telephonic or face‑to‑face history and program needs assessments using a tool with pre‑defined questions for the identification, evaluation, coordination and management of member's long‑term service and support needs. Identify members with potential clinical health care needs (including, but not limited to, potential for high‑risk complications) and coordinate those member's cases with the clinical healthcare management and interdisciplinary team to provide care coordination support. The process does not involve clinical judgment. Manage non‑clinical needs of members with chronic illnesses, co‑morbidities, and/or disabilities, to ensure cost‑effective and efficient utilization of long‑term services and supports. Establish short and long‑term service and support goals in collaboration with the member, caregivers, family, natural supports, physicians; identify members that would benefit from an alternative level of service or other waiver programs. Serve as a mentor or preceptor for new staff, assist in the formal training of associates and may be involved in process improvement initiatives. Minimum Requirements Requires a BA/BS degree and a minimum of 2 years of experience working with a social work agency as well as a minimum of 5 years of experience working with individuals with chronic illnesses, co‑morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences Bilingual in Spanish/English BA/BS degree in a healthcare‑related field preferred. Specific education, years, and type of experience may be required based upon state law and contract requirements. Travels to worksite and other locations as necessary. Equal Employment Opportunity Statement 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 View email address on click.appcast.io 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. #J-18808-Ljbffr