LTSS Service Care Coordinator

Centene Management Company•Crystal Lake, IL

3d•Hybrid

About The Position

Assists in developing, assessing, and coordinating holistic care management activities to support quality, cost-effective healthcare outcomes. The role may develop or assist with developing personalized service care plans for long-term care members and educate members and their families or caregivers about available services and benefits. It serves community-based members with aging and physical disability waivers and is hybrid-remote, with 50% travel into member homes. Preference is given to applicants with case management, advocacy, or home-visit/community-travel experience who live within 25 minutes of Huntley, Illinois. Initial training is Monday through Friday, 8:00 a.m. to 5:00 p.m. CT; the subsequent schedule is 8:00 a.m. to 4:30 p.m. CT with a 30-minute lunch. The position requires a bachelor’s degree and one year of related experience. For the Illinois Plan, employees working with the Physically Disabled/Elderly population must additionally meet one of these criteria: be an Illinois-licensed RN; hold a bachelor’s or master’s degree in a specified human-services-related field; or be an LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly. The pay range is $22.94 to $38.79 per hour. Centene offers competitive pay, health insurance, a 401(k), stock purchase plans, tuition reimbursement, paid time off and holidays, and flexibility across remote, hybrid, field, or office work schedules. Actual pay may vary based on skills, experience, education, job-related factors, and employment status. Total compensation may include additional incentives, and benefits may be subject to eligibility.

Requirements

Bachelor’s degree.
One year of related experience.
For Illinois Plan employees working with the Physically Disabled/Elderly population, meet at least one of the following: an Illinois RN license; a bachelor’s or master’s degree in a listed human-services-related field; or an LPN license with one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Nice To Haves

Past case management, advocacy, or home-visit/community-travel experience.
Residence within 25 minutes of Huntley, Illinois.

Responsibilities

Evaluate member needs and available resources, and recommend or facilitate plans to achieve the best outcomes.
Assist with developing ongoing long-term care plans or service plans and identify needed providers, specialists, and community resources.
Coordinate between members or their families/caregivers and care provider teams to help ensure members can access identified services.
Provide members and their families/caregivers with resource support for needs such as employment, housing, participant direction, independent living, justice, and foster care, based on service assessments and plans.
Monitor care plans, member status, and outcomes as appropriate, and recommend plan changes based on identified needs.
Interact with long-term care healthcare providers and partners as appropriate to help ensure member needs are met.
Collect, document, and maintain long-term care member information and care management activities to ensure compliance with applicable state, federal, and third-party payer regulators.
Perform on-site visits to assess member needs and collaborate with providers or resources as appropriate.
Provide or facilitate education for long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
Provide leadership with feedback on opportunities to improve quality of care and cost-effective service delivery.
Perform other duties as assigned.
Comply with all policies and standards.