LTSS Service Care Coordinator

Centene Corporation•Glenview, IL

3d•$23 - $39•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. The position involves 50% local travel and 50% remote work-from-home, serving Glenview, Morton Grove, Northbrook, Wilmette, and Hoffman Estates. Prior case management experience and experience supporting HCBS waiver populations are expected. For the Illinois Plan, employees working with Physically Disabled/Elderly candidates must also meet one of these criteria: hold an Illinois RN license; have a bachelor's or master's degree in a human-services-related field as defined in the posting; or be an LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Requirements

Bachelor's degree and one year of related experience, or equivalent experience demonstrated through applicable knowledge, duties, scope, and skills.
Prior case management experience.
Experience supporting HCBS waiver populations.
For Illinois Plan work with Physically Disabled/Elderly candidates, meet one of the following: Illinois RN license; bachelor's or master's degree in a human-services-related field listed in the posting; or LPN credential plus one year of experience conducting comprehensive assessments and providing formal services for the elderly.

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 providers, specialists, and community resources needed for long-term care.
Coordinate between members or their families/caregivers and care provider teams to ensure identified services are accessible.
Provide resource support to members and their families/caregivers 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 changes 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 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 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 service delivery cost-effectively.
Perform other duties as assigned.
Comply with all policies and standards.