Clearwater, Florida, United States · Hybrid
Anticipated End Date: 2026-08-28 Position Title: LTSS Service Coordinator - Case Manager (Region C: Pasco/Pinellas) Job Description: LTSS Service Coordinator (Bilingual in Spanish/English) Schedule: Monday-Friday 8am-5pm…
Skills: Case management, Social work, Person centered planning, Motivational interviewing, Care coordination
St. Louis, Missouri, United States · On-site
Anticipated End Date: 2026-08-26 Position Title: Onsite Health Coach Job Description: Onsite Health Coach $5000 Sign on bonus offered Work location: This field-based role enables associates to primarily operate in the fi…
Skills: Health coaching, Behavioral assessment, Disease management, Patient education, Clinical assessment
Tampa, Florida, United States · Hybrid
Anticipated End Date: 2026-09-30 Position Title: Information Security Advisor Job Description: Information Security Advisor Hybrid: This role requires associates to be in-office 1 - 2 days per week, fostering collaborati…
Skills: Network security, Access control, Information security, Risk management, Incident response
Miami, Florida, United States · Hybrid
Anticipated End Date: 2026-08-17 Position Title: Account Service Manager Sr Job Description: Account Service Manager Sr Location: Hybrid1: This role requires associates be in the office 1-2 days per week, fostering colla…
Skills: Account management, Strategic planning, Medicare, Medicare advantage, Part D programs
Indianapolis, Indiana, United States · Hybrid
$23/hr–$34/hr
Anticipated End Date: 2026-08-16 Position Title: Financial Ops Recovery Specialist II Job Description: Financial Ops Recovery Specialist II LOCATION: This is a virtual eligible role. You must be within a reasonable dista…
Skills: Claims processing, Customer service, Financial operations, Claims auditing, Collections
Overland Park, Kansas, United States · Hybrid
Anticipated End Date: 2026-08-28 Position Title: Carelon Payment Integrity Manager - Kansas Job Description: Carelon Payment Integrity Manager - Kansas Location: Kansas Hybrid: This role requires associates to be in-offi…
Skills: Payment Integrity, Fraud Waste And Abuse Detection, Claims Payment Accuracy, Project Management, Regulatory Compliance
Grand Prairie, Texas, United States · Hybrid
Anticipated End Date: 2026-08-21 Position Title: Enterprise Architect Executive Job Description: Enterprise Architect Executive Location: This role requires associates to be in-office 1 day per week, fostering collaborat…
Skills: Enterprise architecture, Artificial intelligence, Machine learning, Generative AI, Large language models
Columbus, Georgia, United States · Hybrid
Anticipated End Date: 2026-10-05 Position Title: Customer Care Representative II/III Job Description: Customer Care Representative II & III Shift: Monday -Friday 8am - 8pm Training Hours: Monday -Friday 830am - 5pm This …
Skills: Customer service, Insurance claims processing, Policy interpretation, Research, Oral communication
Miami, Florida, United States · Hybrid
Anticipated End Date: 2026-08-13 Position Title: Customer Care Representative I - Bilingual (Spanish) Job Description: Customer Care Representative I - Bilingual Location: This role enables associates to work virtually f…
Skills: Customer service, Bilingual (Spanish), Communication skills, Problem-solving, Multi-tasking
Latham, New York, United States · Hybrid
$16/hr–$24/hr
Anticipated End Date: 2026-08-14 Position Title: Claims Representative I Job Description: Claims Representative I (Health & Dental) Latham, NY Location: This role enables associates to work virtually full-time, with the …
Skills: Claims processing, Data entry, Communication skills, Database management, Word processing
Costa Mesa, California, United States · Hybrid
$93k–$160k/yr
Anticipated End Date: 2026-08-31 Position Title: DRG Coding Auditor - MS-DRG and APR-DRG Job Description: DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with th…
Skills: DRG Coding, MS-DRG, APR-DRG, ICD-10 Coding, Medical Record Auditing
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-08-14 Position Title: Gen AI Engineer III Job Description: Gen AI Engineer III Location: Atlanta, GA This role requires associates to be in-office 1 - 2 days per week, fostering collaboration a…
Skills: Generative AI, Agentic AI, LLM, SLM, Python
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-08-14 Position Title: Medical Management Nurse Job Description: Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing ma…
Skills: Nursing judgment, Critical thinking, Clinical assessment, Utilization review, Case management
Richmond, Virginia, United States · Hybrid
$121k–$181k/yr
Anticipated End Date: 2026-08-15 Position Title: Business Information Developer Consultant Senior Job Description: Business Information Developer Consultant Senior Location: This role requires associates to be in-office …
Skills: Data engineering, ETL development, Informatica PowerCenter, MS SQL Server, T-SQL
Miami, Florida, United States · Hybrid
$85k–$141k/yr
Anticipated End Date: 2026-09-11 Position Title: Group Underwriting Consultant Job Description: Group Underwriting Consultant Location: This role requires associates to be in-office 1 - 2 days per week, fostering collabo…
Skills: Group underwriting, Risk analysis, Data analysis, Microsoft Excel, PivotTables
Latham, New York, United States · Hybrid
$16/hr–$25/hr
Anticipated End Date: 2026-09-14 Position Title: Customer Care Representative I (Latham, NY) Job Description: Customer Care Representative I Latham, NY, 12110 Location: This role enables associates to work virtually full…
Skills: Customer service, Telephone communication, Written communication, Data analysis, Problem solving
Pasig, Metro Manila, Philippines · On-site
Position Title: Program Manager Shift: 9:00 PM to 6:00AM (Philippines) Job Description: Position Summary The Program Manager will provide day-to-day program leadership for the Member Orchestration Initiative while owning…
Skills: Program management, Business case development, Financial tracking, Governance, Stakeholder management
Lake Mary, Florida, United States · Hybrid
Anticipated End Date: 2026-08-21 Position Title: Benefit Verification Specialist - BioPlus Specialty Pharmacy Job Description: Job Description Benefit Verification Specialist - BioPlus Specialty Pharmacy Location: This r…
Skills: Benefit verification, Insurance coverage review, Prior authorizations, Appeals, Patient communication
Denver, Colorado, United States · Hybrid
$67k–$111k/yr
Anticipated End Date: 2026-08-12 Position Title: Business Information Analyst II - Pharmacy, Compliance and Operations Reporting Job Description: Business Information Analyst II - Pharmacy, Compliance and Operations Repo…
Skills: SQL, Python, Databricks, Snowflake, Tableau
Hermitage, Pennsylvania, United States · Remote OK
Anticipated End Date: 2026-08-22 Position Title: Child/Youth Behavioral Health Case Manager I Job Description: Child/Youth Behavioral Health Case Manager I Virtual: This role enables associates to work virtually full-tim…
Skills: Case management, Behavioral health, Substance abuse counseling, Clinical assessment, Care planning
Clearwater, Florida, United States • Hybrid
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The LTSS Service Coordinator facilitates the person-centered planning process and manages a caseload of individuals by conducting assessments and coordinating physical and behavioral health needs. They serve as the primary point of contact for members, ensuring efficient utilization of long-term services and supports while collaborating with interdisciplinary teams.
Candidates must possess a bachelor's degree and at least 2 years of experience in a social work agency or equivalent background. Proficiency in English and Spanish is strongly preferred, along with experience in case management or hospital discharge planning.
Schedule: Monday-Friday 8am-5pm EST
Location: This is primarily a field based position. Candidate would need to reside in one of the following counties: Pasco or Pinellas County.
Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Alternate locations may be considered if candidates reside within a commuting distance from an office
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. In collaboration with the person supported, facilitates the Person Centered Planning process that documents the member’s preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care plan, engaging the member’s circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements.
Responsible for performing face to face program assessments (using various tools with pre-defined questions) for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual’s waiver (such as LTSS/IDD), and BH or PH needs.
Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member’s cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and supports.
At the direction of the member, documents their short and long-term service and support goals in collaboration with the member’s chosen care team that may include, caregivers, family, natural supports, service providers, and physicians.
Identifies members that would benefit from an alternative level of service or other waiver programs.
May also serve as mentor, subject matter expert or preceptor for new staff, assisting in the formal training of associates, and may be involved in process improvement initiatives.
Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individual’s care plan.
Responsible for reporting critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement).
Assists and participates in appeal or fair hearings, member grievances, appeals, and state audits.
Requires BA/BS degree and a minimum of 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, years, and type of experience may be required based upon state law and contract requirements.
Preferred Skills, Capabilities and Experiences:
BA/BS degree field of study in health care related field preferred.
Bilingual in English/ Spanish strongly preferred.
LTSS, case management, social work or hospital discharge planning experience preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
