LTSS Service Coordinator (Monroe County, IN)
Core
Conduct face-to-face assessments and coordinate long-term services and supports (LTSS) for individuals with chronic illnesses, disabilities, or behavioral health needs in Monroe County, IA.
Role type
Field-based LTSS Service Coordinator
Builds
Person Centered Support Plans (PCSP) and integrated care plans for members
Domain
Healthcare / Long-term Services and Supports (LTSS)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Person Centered Planning, motivational interviewing, care coordination, interdisciplinary team collaboration, utilization management, incident reporting, appeal/fair hearing assistance
Preferred skills
Health care related degree, travel to worksites
Technologies
Pre-defined assessment tools, utilization management systems
Responsibilities
Conduct face-to-face program assessments using pre-defined tools; develop comprehensive Person Centered Support Plans (PCSP) and backup plans; coordinate care with clinical teams and interdisciplinary groups; manage non-clinical needs for members with chronic illnesses or disabilities; document short and long-term service goals with the member's care team; identify members eligible for alternative service levels; serve as mentor or preceptor for new staff; submit utilization/authorization requests; report critical incidents to state and county agencies; assist in appeals, grievances, and state audits.
