LTSS Service Care Coordinator

Centene Corporation • Schaumburg, IL

22d • $23 - $39 • Hybrid

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 role may involve developing or assisting with personalized service care plans for long-term care members and educating members and their families or caregivers about available services and benefits.

This is a field-based role requiring approximately 50% local travel, with the remaining time worked remotely from home. The position includes in-home visits and primarily supports individuals enrolled in Physically Disabled (PD) and Elderly Waiver programs. Candidates must reside in the Shamburg, Illinois area.

For the Illinois plan, employees working with Physically Disabled/Elderly candidates must meet one of these criteria in addition to the general education and experience requirements: hold an Illinois RN license; have a bachelor’s or master’s degree in a qualifying human services-related field; 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 skill.
• Must reside in the Shamburg, Illinois area.
• For the Illinois Plan working with Physically Disabled/Elderly candidates, meet one of the following: Illinois RN license; bachelor’s or master’s degree in a qualifying human services-related field; or LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly.
• Qualifying human services-related fields listed include Child, Family and Community Services; Early Child Development; Guidance and Counseling; Home Economics—Child and Family Services; Human Development Counseling; Human Service Administration; Human Services; Master of Divinity; Pastoral Care; Pastoral Counseling; Psychiatric Nursing; Psychiatry; Psychology; Public Administration; Rehabilitation Counseling; Social Science; Social Services/Social Work; or Sociology.

Responsibilities

• Evaluate member needs and available resources, and recommend 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 or their families/caregivers and care provider teams to help ensure identified services are accessible.
• Provide resource support to members and 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, 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 long-term care member information and care management activities to support compliance with state, federal, and third-party payer regulations.
• Conduct on-site visits to assess member needs and collaborate with providers or resources as appropriate.
• Provide or facilitate education for members and 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.

Benefits

• Competitive pay
• Health insurance
• 401(k)
• Stock purchase plans
• Tuition reimbursement
• Paid time off
• Holidays
• Flexible approach to work with remote, hybrid, field, or office work schedules
• Potential additional forms of incentives, subject to applicable factors and eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level