LTSS Service Coordinator - Case Manager (Region G: Palm Beach County)
Core
Conduct service coordination and case management for individuals in specialized long-term services and supports (LTSS) programs, including Person Centered Planning, care coordination, and managing physical and behavioral health needs.
Role type
Senior IC case manager (LTSS)
Builds
Comprehensive Person Centered Support Plans (PCSP) and integrated care plans for members with chronic illnesses, co-morbidities, or disabilities.
Domain
Healthcare / Long-term services and supports (LTSS) / Social work
Deliverable
client delivery
Required skills
Person Centered Planning, care coordination, motivational interviewing, program assessments, interdisciplinary collaboration, utilization management, incident reporting, appeal/fair hearing support
Preferred skills
Bilingual (English/Spanish), LTSS or case management experience, social work background, hospital discharge planning experience
Technologies
Pre-defined assessment tools, utilization management systems
Responsibilities
Conduct face-to-face program assessments and develop PCSPs; coordinate care with clinical teams and interdisciplinary groups; manage non-clinical needs for members with chronic conditions; document service goals with the member and support circle; identify members for alternative service levels; mentor new staff; submit utilization requests; report critical incidents to state agencies; assist with appeals and audits.