LTSS Service Coordinator (Case Manager)

Hiring statewide across Ohio. Must reside in the state of Ohio. Location: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. LTSS Service Coordinator is responsible for managing service coordination for a designated caseload in specialized programs. Responsibilities include collaborating with individuals to lead the Person Centered Planning process, documenting preferences, needs, and goals; conducting assessments; creating and updating Person Centered Support Plans and backup plans; working with Medical Directors; participating in interdisciplinary care rounds; engaging the individual’s support network; and overseeing management of physical health, behavioral health, and long‑term services and supports while adhering to state and federal regulations. How You Will Make An Impact Perform face‑to‑face program assessments using various tools and pre‑defined questions for identification, applying motivational interviewing techniques for evaluations, and coordinating and managing an individual’s waiver (such as LTSS/IDD), BH or PH needs. Use tools and a pre‑defined identification process to identify members with potential clinical health care needs, including high‑risk complications, and coordinate those member’s cases with the clinical healthcare management and interdisciplinary team to provide care coordination support. Manage non‑clinical needs of members with chronic illnesses, co‑morbidities, or disabilities to ensure cost‑effective and efficient 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—caregivers, family, natural supports, service providers, and physicians—at the direction of the member. Identify members that 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 training associates, and participate in process improvement initiatives. Submit utilization/authorization requests 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 appeals or fair hearings, member grievances, appeals, and state audits. Minimum Requirements BA/BS degree and a minimum of 2 years of experience working with a social work agency; or any combination of education and experience providing an equivalent background. Preferred Skills, Capabilities And Experiences Strong preference for case management experience with older adults or individuals with disabilities. BA/BS in Health/Nursing preferred. Salary range for this position is $26.19/hr to $32.75/hr (location: Columbus, OH). 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. #J-18808-Ljbffr