LTSS Svc Coordinator - Leavenworth and Wyandotte Counties - 97474SK

Company Name:
Anthem
Amerigroup , a proud member of the Anthem family of companies, is foused on serving Medicaid, Medicare and uninsured individuals and families. We improve access to quality health care for the financially vulnerable, seniors and people with disabilities.
Here, you can do work that matters and offers opportunities for personal and professional growth. Together, our associates are transforming health care with trusted and caring solutions.
Job Summary:
Responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract; develops, monitors, and revises the member's service plan to meet the member's needs, with the goal of optimizing member health care across the care continuum.
/ This position supports members in Leavenworth and Wyandotte Counties /
Primary duties include but may not be limited to:
1. Responsible for performing telephonic or face-to-face non-clinical assessments using a tool with pre-defined response options for the identification, evaluation, coordination and management of member's non-clinical long term service and support needs.
2. Identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and refers those members' cases to the clinical healthcare management team.
3. 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.
4. Obtains a thorough and accurate member history to develop an individual service plan.
5. 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.
6. 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.
BA/BS in a health related field preferred
2 years of experience working with a social work agency
Any combination of education and experience, which would provide an equivalent background.
Travel required.
Knowledge of Home and Community-Based Medicaid waiver services for frail elders, individuals with developmental disabilities, traumatic brain Injury, and/or other physical disabilities preferred.
/ Anthem is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine, and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at / / //. EOE. M/F/Disability/Veteran./
Job Medical
Title: LTSS Svc Coordinator - Leavenworth and Wyandotte Counties - 97474SK
Location: Kansas
Other Locations: KS-Overland Park
Requisition ID: 97474

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