LTSS Service Coordinator - Benton County, IA
Company: Elevance Health
Location: Cedar Rapids
Posted on: March 19, 2023
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Job Description:
Description This position will serve Benton County, working from
your home-based office with field visits to member homes and/or
nursing facilities. The LTSS Service Coordinator is responsible for
conducting service coordination functions for a defined caseload of
individuals in specialized programs. In collaboration with the
person supported, facilitates the Person Centered Planning process
that documents the member's preferences, needs and self-identified
goals, including but not limited to conducting assessments,
development of a comprehensive Person Centered Support Plan (PCSP)
and backup plan, interfacing with Medical Directors and
participating in interdisciplinary care rounds to support
development of a fully integrated care plan, engaging the member's
circle of support and overall management of the individuals
physical health (PH)/behavioral health (BH)/LTSS needs, as required
by applicable state law and contract, and federal requirements. How
you will make an impact: Responsible for performing face to face
program assessments (using various tools with pre-defined
questions) for identification, applying motivational interviewing
techniques for evaluations, coordination, and management of an
individual's waiver (such as LTSS/IDD), and BH or PH needs. Uses
tools and pre-defined identification process, identifies members
with potential clinical health care needs (including, but not
limited to, potential for high-risk complications, addresses gaps
in care) and coordinates those member's cases (serving as the
single point of contact) with the clinical healthcare management
and interdisciplinary team in order to provide care coordination
support. Manages 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. At the direction of the member, documents their short and
long-term service and support goals in collaboration with the
member's chosen care team that may include, caregivers, family,
natural supports, service providers, and physicians. Identifies
members that would benefit from an alternative level of service or
other waiver programs. May also serve as mentor, subject matter
expert or preceptor for new staff, assisting in the formal training
of associates, and may be involved in process improvement
initiatives. Submits utilization/authorization requests to
utilization management with documentation supporting and aligning
with the individual's care plan. Responsible for reporting critical
incidents to appropriate internal and external parties such as
state and county agencies (Adult Protective Services, Law
Enforcement). Assists and participates in appeal or fair hearings,
member grievances, appeals, and state audits. Minimum Requirements:
Requires BA/BS degree and a minimum of 2 years of experience
working with a social work agency; or any combination of education
and experience which would provide an equivalent background.
Specific education, years, and type of experience may be required
based upon state law and contract requirements. Travel required.
Preferred Skill, Capabilities, and Experiences: BA/BS degree field
of study in health care related field preferred. "Qualified case
managers and supervisors" means people who have the following
qualifications: 1. A bachelor's degree with 30 semester hours or
equivalent quarter hours in a human services field (including, but
not limited to, psychology, social work, mental health counseling,
marriage and family therapy, nursing, education, occupational
therapy, and recreational therapy) and at least one year of
experience in the delivery of services to the population groups
that the person is hired as a case manager or case management
supervisor to serve; or 2. An Iowa license to practice as a
registered nurse and at least three years of experience in the
delivery of services to the population group the person is hired as
a case manager or case management supervisor to serve.Please be
advised that Elevance Health only accepts resumes from agencies
that have a signed agreement with Elevance Health. Accordingly,
Elevance Health is not obligated to pay referral fees to any agency
that is not a party to an agreement with Elevance Health. Thus, any
unsolicited resumes, including those submitted to hiring managers,
are deemed to be the property of Elevance Health.Be part of an
Extraordinary TeamElevance Health is a health company dedicated to
improving lives and communities - and making healthcare simpler.
Previously known as Anthem, Inc., we have evolved into a company
focused on whole health and updated our name to better reflect the
direction the company is heading.We are looking for leaders at all
levels of the organization who are passionate about making an
impact on our members and the communities we serve. You will thrive
in a complex and collaborative environment where you take action
and ownership to solve problems and lead change. Do you want to be
part of a larger purpose and an evolving, high-performance culture
that empowers you to make an impact?We offer a range of
market-competitive total rewards that include merit increases, paid
holidays, Paid Time Off, and incentive bonus programs (unless
covered by a collective bargaining agreement), medical, dental,
vision, short and long term disability benefits, 401(k) +match,
stock purchase plan, life insurance, wellness programs and
financial education resources, to name a few.The health of our
associates and communities is a top priority for Elevance Health.
We require all new candidates to become vaccinated against
COVID-19. If you are not vaccinated, your offer will be rescinded
unless you provide - and Elevance Health approves - a valid
religious or medical explanation as to why you are not able to get
vaccinated that Elevance Health is able to reasonably accommodate.
Elevance Health will also follow all relevant federal, state and
local laws.Elevance Health has been named as a Fortune Great Place
To Work in 2021, is ranked as one of the 2021 World's Most Admired
Companies among health insurers by Fortune magazine, and a Top 20
Fortune 500 Companies on Diversity and Inclusion. To learn more
about our company and apply, please visit us at
careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.
Keywords: Elevance Health, Cedar Rapids , LTSS Service Coordinator - Benton County, IA, Other , Cedar Rapids, Iowa
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