LTSS Service Coordinator - Case Manager (Region C: Pasco/Pinellas)
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)
Required skills
Case management, Person Centered Planning, motivational interviewing, interdisciplinary care coordination, utilization management, crisis reporting, appeals and grievance handling
Preferred skills
Bilingual (English/Spanish), health care related degree, LTSS or social work experience
Technologies
Pre-defined assessment tools, utilization management systems
Responsibilities
Conduct face-to-face program assessments and develop Person Centered Support Plans; Coordinate care with interdisciplinary teams and clinical healthcare management; Manage non-clinical needs of members with chronic illnesses or disabilities; Document short and long-term service goals with the member's care team; Submit utilization/authorization requests to utilization management; Report critical incidents to state and county agencies; Assist in appeals, fair hearings, and state audits.
Seniority
Non-Management Non-Exempt