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Elevance 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 HealthElevance Health
Indianapolis, IN, United States
Location: Indianapolis, IN Hours: M – F Travel: Field Based Role (25% - 50% in state travel) Position Overview: The LTSS Provider Auditor is a part of the LTSS PR team, supporting quality in service delivery. The LTSS Provider Auditor is responsible for quality oversight and ensuring LTSS Providers are in compliance with federal state laws, and
Job Source: Elevance HealthElevance Health
Southport, 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 HealthAmerican Senior Communities
Indianapolis, IN, United States
Data Entry Coordinator - Transitional Care Hours are Saturday and Sunday, 12pm (Noon) - 5pm. After 30 days of training at our Indianapolis headquarters, eligible to work remote from home. Become a Transitional Care Coordinator at American Senior Communities, and start making a difference in the lives of seniors today! What does a Transitional C
Job Source: American Senior CommunitiesPittsburgh 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 VeteransElevance Health
Indianapolis
**Location: Indianapolis, IN** **Hours: Standard M - F** **Travel:** **Hybrid (1-2 days in office per week) – Travels to worksite and other locations as necessary.** **Position Overview:** LTSS Claims Educators who are in Indiana and facilitate the exchange of information between the grievances, claims processing, and provider relations systems. Th
Job Source: Elevance HealthIndianapolis, 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 : The LTSS Transition Coordinator supports the LTSS Coordinator (or contracted provider) in executing the person-centered planning process during transitions of care for individuals moving between various levels of care.
Job Duties:
•Coordinate and manage transitions for individuals moving between different care settings. Including home care, assisted living and skilled nursing facilities.
•Collaborate with healthcare providers, social workers, and other stakeholders to ensure a seamless transition process.
•Responsible for ensuring the effectiveness of the care plan and complying with contractual requirements for member outreach, including coordination and management of individual waivers (such as LTSS/IDD), behavioral health or physical health needs.
•Submit utilization/authorization request to utilization management ensuring documents supports and aligns with the individual's care plan.
•Utilize tools and a pre-defined identification process to consult with the primary service coordinator, monitoring personalized care and support plan (PCSP) when a risk is identified concerning the member's LTSS, etc.
•Oversees the non-clinical requirements of members with chronic illnesses, co-morbidities, and/or disabilities, aiming for cost-effective and streamlined utilization of long-term services and supports.
•Collaborate with the member's chose care team, which may consist of caregivers, family, natural supports, and physicians to document their short- and long-term service and support objectives, as directed by the member.
•Identifies members who may benefit from alternative service levels or other waiver programs.
•May serve as subject matter expert, mentor, or preceptor for new staff, contributing to formal training programs for associates and potentially engaging in process enhancement endeavors.
•Accountable for promptly reporting critical incidents to pertinent internal and external entities, including state and county agencies such as Adult Protective Services and Law Enforcement.
•Provide support and actively participate in appear or fair hearings, member grievances, appeals and state audits.
Job Qualifications:
•Requires a BA/BS with a minimum of two years working with social work agency, LTSS, healthcare, and/or aged and disability industry experience; or any combination of education and experience which would provide an equivalent background.
•Experience managing a community and/or facility-based care management case load, highly preferred.
•Experience working from home is a plus.
• Note: Hours TBD; Starting Salary $45, 000 to $60,000 (based on experience) Health Insurance and Benefits offered.
Email Alert for LTSS Transition Coordinator jobs in Indianapolis, IN, United States
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