Integrated Care Service Coordinator

2 weeks ago


Miami, United States Elevance Health Full time
Position Overview:

The LTSS Service Coordinator plays a crucial role in managing and coordinating services for individuals within specialized programs. This position is primarily field-based, requiring interaction with patients and healthcare providers in various settings.

Key Responsibilities:
  • Conduct comprehensive assessments to identify the needs and preferences of individuals, utilizing motivational interviewing techniques.
  • Collaborate with the individual and their support network to develop a tailored Person Centered Support Plan (PCSP) that addresses their health and support goals.
  • Serve as the primary point of contact for members, coordinating with interdisciplinary teams to ensure seamless care management.
  • Monitor and manage the non-clinical needs of members with chronic conditions, ensuring efficient use of long-term services and supports.
  • Document and track service goals in partnership with the member's chosen care team, which may include family, caregivers, and healthcare providers.
  • Identify opportunities for members to access alternative services or waiver programs that may better meet their needs.
  • Assist in training and mentoring new staff, contributing to process improvement initiatives within the organization.
  • Submit necessary documentation for utilization management and report critical incidents to relevant agencies.
  • Participate in appeals, grievances, and state audits as required.
Qualifications:
  • A Bachelor's degree and a minimum of two years of experience in a social work setting, or a combination of education and experience that provides a similar background.
  • Specific qualifications may vary based on state regulations and contractual obligations.
Preferred Skills:
  • Degree in a healthcare-related field is preferred.
  • Bilingual proficiency in English and Spanish is strongly preferred.
Work Environment:
This role operates within a hybrid workforce strategy, requiring regular interaction with both internal teams and external stakeholders.

About Elevance Health:
Elevance Health is committed to enhancing the health and well-being of our communities through innovative healthcare solutions. We value diversity and inclusion and strive to create a supportive environment for all associates.

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