LTSS Service Care Coordinator

Centene Management Company•Bolingbrook, IL

11d

About The Position

The LTSS Service Care Coordinator assists in developing, assessing, and coordinating holistic care management activities to support quality, cost-effective healthcare outcomes. The coordinator may develop or help develop personalized long-term care service plans and educate members and their families or caregivers about services and benefits available to meet member needs. The position requires up to 75% local travel throughout Aurora, Naperville, Bolingbrook, and Warrenville. Candidates must reside within the designated ZIP codes for the assigned service area. The role is suited to candidates with case management experience and experience supporting waiver populations, including coordinating community-based services and resources. The coordinator evaluates member needs and available resources, facilitates appropriate plans, coordinates access to providers and services, monitors member status and outcomes, and maintains care management documentation. The role also includes educating members and caregivers, collaborating with providers and community resources, and offering leadership feedback on opportunities to improve quality and cost-effective service delivery.

Requirements

Bachelor's degree and one year of related experience, or equivalent experience demonstrated through applicable knowledge, duties, scope, and skills.
Must reside within the designated ZIP codes for the assigned service area.
For Illinois Plan positions serving Physically Disabled/Elderly candidates, meet one of the specified qualifications: Illinois RN license; a bachelor's or master's degree in a listed human-services-related field; or an LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly.
For Illinois Plan positions serving Brain Injury/HIV/AIDS candidates, meet one of the specified qualifications: Illinois RN license plus a bachelor's degree in nursing, social work, social sciences, or counseling, or four years of case management experience; certified or licensed social worker with a bachelor's degree in social work, social sciences, or counseling, or a master's degree in social work; or an unlicensed social worker with at least a bachelor's degree in social work, social sciences, or counseling.

Nice To Haves

Experience in case management.
Experience supporting waiver populations, including coordinating services and resources for members in the community.

Responsibilities

Evaluate member needs and available resources, and recommend or facilitate plans that support 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, families or caregivers, and care provider teams to help ensure members can access identified services.
Provide resource support to members and families or caregivers for needs such as employment, housing, participant direction, independent living, justice, and foster care, based on assessments and plans.
Monitor care plans or service plans, member status, and outcomes as appropriate, and recommend updates based on identified needs.
Interact with long-term care healthcare providers and partners to help ensure member needs are met.
Collect, document, and maintain member information and care management activity records in compliance with applicable state, federal, and third-party payer regulations.
Perform on-site visits to assess member needs and collaborate with providers or resources, as appropriate.
Provide or facilitate education for members and families or caregivers on 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.