LTSS Service Care Coordinator
About The Position
The LTSS Service Care Coordinator assists with developing, assessing, and coordinating holistic care management activities to support quality, cost-effective healthcare outcomes. The role may involve developing or helping develop personalized service plans for long-term care members and educating members and their families or caregivers about available services and benefits. This is a field-based, work-from-home position supporting members throughout Southern Cook County and Will County, with a primary focus on Oak Lawn, Hazel Crest, Manhattan, New Lenox, Matteson, Tinley Park, Orland Park, Frankfort, Mokena, Alsip, Homer Glen, and Monee. Approximately 50% of the work involves local travel for member home visits and in-person support; the remaining time is spent working remotely from home. Case management experience is sought, preferably with Home and Community-Based Services (HCBS) waiver populations. Experience coordinating care, connecting members to community resources, and supporting complex medical and social needs is highly preferred.
Requirements
- Bachelor's degree and one year of related experience, or equivalent experience acquired through accomplishments demonstrating applicable knowledge, duties, scope, and skill at the level of the position.
- For Illinois Plan employees working with Physically Disabled/Elderly candidates, meet one of these criteria: Illinois RN license; a bachelor's or master's degree in a human-services-related field as defined in the posting; or an LPN license and one year of experience conducting comprehensive assessments and providing formal services for the elderly.
Nice To Haves
- Case management experience, preferably with Home and Community-Based Services (HCBS) waiver populations.
- Experience coordinating care, connecting members to community resources, and supporting complex medical and social needs.
Responsibilities
- Evaluate member needs and available resources, and recommend and/or facilitate plans for 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 and/or their families or caregivers and care provider teams to help ensure identified services are accessible.
- Provide 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 or service plans, member status, and outcomes, and recommend updates based on identified member 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 activities to ensure 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 their families or caregivers about procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
- Provide feedback to leadership about opportunities to improve and enhance cost-effective quality of care and service delivery for long-term care members.
- Perform other duties as assigned.
- Comply with all policies and standards.
Benefits
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field, or office work schedules
- Additional forms of incentives may be included in total compensation
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What This Job Offers
Job Type
Full-time
