LTSS Service Coordinator (Case Manager)
Core
Manage service coordination for a designated caseload of individuals with chronic illnesses, co-morbidities, and/or disabilities, focusing on physical health, behavioral health, and long-term services and supports.
Role type
Mid-level case manager (LTSS Service Coordinator)
Builds
Person Centered Support Plans (PCSP), care coordination, and utilization management for members
Domain
Healthcare / Long-term services and supports (LTSS)
Required skills
Case management, Person Centered Planning, assessments, motivational interviewing, interdisciplinary collaboration, regulatory compliance, reporting critical incidents, appeals and grievances management
Preferred skills
Experience with older adults or individuals with disabilities, Health or Nursing degree
Technologies
Pre-defined assessment tools, utilization management systems
Responsibilities
Conduct face-to-face program assessments and create comprehensive support plans; coordinate care with clinical teams and interdisciplinary rounds; manage non-clinical needs and service utilization; document goals with support networks; mentor new staff; submit utilization requests; report critical incidents; assist in appeals and audits