LTSS Service Care Coordinator

Centene Management Company•Elmhurst, IL

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. The position requires up to 50% local travel to support members in Addison, Bensenville, Bartlett, Bloomingdale, Carol Stream, Elmhurst, Itasca, Roselle, and Wood Dale. The ideal candidate has case management experience with waiver populations and a strong understanding of community-based services and care coordination. For Illinois Plan work with Physically Disabled/Elderly candidates, the employee must meet one of these additional 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–$38.79 per hour. Centene offers a comprehensive benefits package and flexible work arrangements that may include remote, hybrid, field, or office schedules. Actual pay may vary based on skills, experience, education, other job-related factors, and full-time or part-time status; total compensation may include incentives, and benefits may be subject to eligibility.

Requirements

Bachelor's degree and one year of related experience, or equivalent experience demonstrated through applicable knowledge, duties, scope, and skills.
For Illinois Plan work with Physically Disabled/Elderly candidates, meet one of the following: Illinois RN licensure; a bachelor's or master's degree in a human services-related field as defined in the posting; or LPN licensure with one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Nice To Haves

Case management experience working with waiver populations.
Strong understanding of community-based services and care coordination.

Responsibilities

Evaluate member needs and available resources, and recommend or facilitate plans for the best outcomes.
Assist in developing ongoing long-term care plans or service plans and identify needed providers, specialists, and community resources.
Coordinate among members, families or caregivers, and care provider teams to help ensure identified services are accessible.
Provide members and their families or 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 to help ensure member needs are met.
Collect, document, and maintain long-term care member information and care management activity records to support compliance with state, federal, and third-party payer requirements.
Perform on-site visits as needed to assess member needs and collaborate with providers or resources.
Provide or facilitate education for members and families or caregivers about procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
Provide leadership with feedback on opportunities to improve quality of care and service delivery cost-effectively.
Perform other duties as assigned.
Comply with all policies and standards.