LTSS Service Coordinator – Case Manager

Role Overview

• Responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs.
• Facilitates the Person Centered Planning process that documents the member’s preferences, needs and self-identified goals.
• Conducts assessments and develops 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.
• Conducts face-to-face program assessments using motivational interviewing techniques for evaluations, coordination, and management of an individual’s waiver and BH or PH needs.
• Identifies members with potential clinical health care needs and coordinates those member’s cases with the clinical healthcare management and interdisciplinary team.
• Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities.
• Documents short and long-term service and support goals in collaboration with the member’s chosen care team.
• Identifies members that would benefit from an alternative level of service or other waiver programs.
• 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.

Requirements

• Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency
• Specific education, years, and type of experience may be required based upon state law and contract requirements
• Bilingual in English/ Spanish strongly preferred
• LTSS, case management, social work or hospital discharge planning experience preferred

Benefits

• Sign on Bonus: $1500.00
• flexible work arrangements
• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs
• medical benefits
• dental benefits
• vision benefits
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources