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LTSS Service Coordinator - Wor...

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Job Summary

Company
Anthem
Location
Fellsmere, FL
Industries
Other/Not Classified
Job Type
Full Time
Employee
Career Level
Experienced (Non-Manager)
Job Reference Code
4298_0003007

LTSS Service Coordinator - Work Remotely / Work At Home in Florida - Future Opportunities

About the Job

Description
Your Talent. Our Vision. At Simply Healthcare, a proud member of the Anthem, Inc. family of companies, it's a powerful combination and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. We are a Florida licensed health maintenance organization that serves individuals enrolled in Medicaid and/or Medicare programs, Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve.

LTSS Service Coordinator - Work Remotely / Work At Home in Florida - Future Opportunities

By applying to this posting, your resume will be captured as part of our talent pipeline for future LTSS Service Coordinator opportunities coming soon in Florida.

Work Location: This position allows for working remotely / work from home in the state of Florida.

This position is responsible for overall management of members individual service plan within the scope of position, as required by applicable state law and contract; develops, monitors, and revises the members service plan to meet the members needs, with the goal of optimizing member health care across the care continuum.

  • Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of members long term service and support needs.
  • Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and coordinates those members cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The process does not involve clinical judgment.
  • Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of long term services and supports.
  • Establishes short and long term service and support goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of service or other waiver programs.
  • May also serve as mentor or preceptor for new staff, assisting in the formal training of associates and may be involved in process improvement initiatives.
Qualifications
  • BA/BS in a health related field preferred.
  • 2 years of experience working with a social work agency; or any combination of education and experience, which would provide an equivalent background.
  • Specific education and years and type of experience may be required based upon state law and contract requirements.
  • Travel required in the state of Florida (day trips where all business related expenses will be reimbursed).

  • Strong computer skills preferred (MS Office suite).

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

 

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