LTSS Service Coordinator (Case Manager)
Elevance Health
Location: This field‑based role enables associates to primarily operate in the field, traveling to client sites or designated locations as required, with occasional office attendance for meetings or training.
Hiring near Cambridge, Colerain, Chillicothe, Coshocton, Hillsboro, Ironton, Mansfield, Marion, Mount Orab, Mount Vernon, New Philadelphia, Steubenville, Waverly, Zanesville.
This role focuses on delivering high‑quality, trauma‑informed, culturally competent, person‑centered coordination for all members, addressing physical health, behavioral health, long‑term services and supports, and psychosocial needs.
Responsibilities
Perform face‑to‑face program assessments using various tools and pre‑defined questions to identify and apply motivational interviewing techniques for evaluating, coordinating, and managing an individual’s waiver (such as LTSS/IDD), behavioral health, or physical health needs.
Use tools and the pre‑defined identification process to identify members with potential clinical health care needs, including but not limited to high‑risk complications, and coordinate their cases with the clinical health care management and interdisciplinary team to provide care coordination support.
Manage 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.
Document members’ short‑ and long‑term service and support goals in collaboration with their chosen care team, which may include caregivers, family, natural supports, service providers, and physicians.
Identify members who would benefit from an alternative level of service or other waiver programs.
Serve as a mentor, subject‑matter expert, or preceptor for new staff, assisting in formal training and may be involved in process improvement initiatives.
Submit utilization/authorization requests to utilization management with documentation that supports and aligns with the individual’s care plan.
Report critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement).
Assist and participate in appeals 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 an equivalent combination of education and experience.
Preferred Skills, Capabilities, and Experiences
Strong preference for case management experience with older adults or individuals with disabilities.
BA/BS in Health or Nursing preferred.
The Health of our associates and communities is a top priority for Elevance Health. Required vaccinations for certain patient/member‑facing roles include COVID‑19 and Influenza. Elevance Health follows all relevant federal, state, and local laws.
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 identity, gender expression, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other protected status. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.