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Elevance Health
Franklin, IN, United States
Location: Field associates spend 4-5 days per week in-person with patients, members or providers. The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in the IN PathWays for Aging program. In collaboration with the person supported, facilitates the Person Centered Planning
Job Source: Elevance HealthElevance Health
Beech Grove, IN, United States
Location: Field associates spend 4-5 days per week in-person with patients, members or providers. The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in the IN PathWays for Aging program. In collaboration with the person supported, facilitates the Person Centered Planning
Job Source: Elevance HealthElevance Health
Indianapolis, IN, United States
Location: Field associates spend 4-5 days per week in-person with patients, members or providers. The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in the IN PathWays for Aging program. In collaboration with the person supported, facilitates the Person Centered Planning
Job Source: Elevance HealthPittsburgh Hires Veterans
Indianapolis, IN, United States
Location: Field associates spend 4-5 days per week in-person with patients, members or providers. The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in the IN PathWays for Aging program. In collaboration with the person supported, facilitates the Person Centered Plannin
Job Source: Pittsburgh Hires VeteransPittsburgh Hires Veterans
, IN, United States
Location: Field associates spend 4-5 days per week in-person with patients, members or providers. The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in the IN PathWays for Aging program. In collaboration with the person supported, facilitates the Person Centered P
Job Source: Pittsburgh Hires VeteransDaMar Staffing
Indianapolis, IN, United States
Job Description Company Information : A healthcare company with corporate office located in Indianapolis Metro area, serving more than 100 million people at every stage of health. Location: This position is primarily remote. Candidates must have an appropriate home workspace and be available for occasional in-person team meetings. Job Summary :
Job Source: DaMar StaffingElevance Health
Greenwood
**Location:** Field associates spend 4-5 days per week in-person with patients, members or providers. The **Case Manager- LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service Coordinator - Clinician)** has overall responsibility for the member's case, as required by the IN PathWays for Aging program, contributes to the LTSS care coordination p
Job Source: Elevance HealthElevance Health
Beech Grove
**Location:** Field associates spend 4-5 days per week in-person with patients, members or providers. The **Case Manager- LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service Coordinator - Clinician)** has overall responsibility for the member's case, as required by the IN PathWays for Aging program, contributes to the LTSS care coordination p
Job Source: Elevance HealthSouthport, IN, United States
Location: Field associates spend 4-5 days per week in-person with patients, members or providers.
The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in the IN PathWays for Aging program. 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:
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.
Preferred Skills, Capabilities and Experiences:
Experience working with older adults in care management, provider or other capacity, highly preferred
Experience managing a community and/or facility-based care management case load, highly preferred
BA/BS degree field of study in health care related field preferred.
Travels to worksite and other locations as necessary.
Email Alert for LTSS Service Coordinator (Case Manager) jobs in Southport, IN, United States
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