LTSS Service Coordinator - Case Manager (Region I: Miami-Dade/Monroe County)
Core
Conduct face-to-face assessments and coordinate long-term services and supports (LTSS) for individuals with chronic illnesses, disabilities, or behavioral health needs, developing Person Centered Support Plans and managing physical and behavioral health goals.
Role type
Senior IC case manager (LTSS)
Builds
Comprehensive Person Centered Support Plans (PCSP) and backup plans for members
Domain
Healthcare / Long-term services and supports (LTSS) / Behavioral health
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Case management, Person Centered Planning, motivational interviewing, interdisciplinary care coordination, utilization management, crisis reporting, appeal/fair hearing assistance
Preferred skills
Bilingual (English/Spanish), LTSS 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 comprehensive support plans; coordinate care with clinical teams and interdisciplinary groups; manage non-clinical needs for members with chronic conditions; document short and long-term service goals with the member's support circle; identify members eligible for alternative service levels; mentor new staff and assist with process improvement; submit utilization requests and report critical incidents to state agencies; assist with appeals, grievances, and audits.