LTSS Family Care-Service Coordinator

LTSS Service Coordinator (Case Manager)

$5,000 Sign‑on Bonus

Hiring near Southwestern Wisconsin in counties:
Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green.

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. Candidates must reside within reasonable commuting distance of the posting locations unless accommodation is granted.

Anthem offers the Family Care Program, a Wisconsin long‑term care program for older adults and adults with disabilities. The goal is that each member experiences the life they choose with supports to maximize independent living, employment, and community contribution.

• Perform face‑to‑face program assessments using predefined tools, applying motivational interviewing techniques for evaluations and coordination of a person's waiver and health needs.
• Identify members with potential clinical health care needs and coordinate those case(s) with the clinical healthcare management and interdisciplinary team to provide care coordination support.
• Manage non‑clinical needs of members with chronic illnesses, comorbidities, and/or disabilities to ensure cost‑effective and efficient utilization of long‑term services and supports.
• At the member's direction, document short‑ and long‑term service and support goals in collaboration with the chosen care team, which may include caregivers, family, natural supports, service providers, and physicians.
• Serve as a mentor, subject‑matter expert, or preceptor for new staff, assist in formal training of associates, and may be involved 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 appeals 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 any combination of education and experience that provides an equivalent background.

• BA/BS degree in a health‑care related field preferred.
• Assisted living or social work experience preferred.
• Waiver experience preferred.
• Comfortable using technology preferred.
• Travels to work sites and other locations as necessary.

• Entry level

• Full‑time

• Other

• Individual and Family Services

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 under applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj 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.