LTSS Service Coordinator

This position will serve the Knox, Blount, Wilson Counties in TN.

Field-Based Role: Associates operate primarily in the field, traveling to client sites as required, with occasional office attendance for meetings or training. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted as required by law.

Responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. Collaborates with the person supported to facilitate the Person-Centered Planning process, including assessments, development of a comprehensive Person-Centered Support Plan (PCSP), engagement of the member’s circle of support, and overall management of the individual’s physical health (PH)/behavioral health (BH)/LTSS needs.

• Perform face-to-face program assessments using pre-defined tools and motivational interviewing techniques for evaluation, coordination, and management of an individual’s waiver (LTSS/IDD), BH, or PH needs.
• Identify members with potential clinical health care needs and coordinate their cases with the interdisciplinary team.
• Manage non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for 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.
• Identify members that would benefit from alternative levels of service or other waiver programs.
• Serve as mentor, subject matter expert, or preceptor for new staff and participate in process improvement initiatives.
• Submit utilization/authorization requests to utilization management with supporting documentation aligned 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.

• BA/BS degree and a minimum of 2 years of experience working with a social work agency, or equivalent combination of education and experience.
• Specific education, years, and type of experience may be required based on state law and contract requirements.

• BA/BS degree in a health care related field.
• Willingness to travel to worksite and other locations as necessary.

Elevance Health is an Equal Employment Opportunity employer. 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 elevancehealthj for assistance.