LTSS Service Care Coordinator

Centene Corporation • Remote-IL, IL

2d • $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 help develop personalized service care plans for long-term care members and educate members and their families or caregivers about services and benefits that may meet their needs.

The position requires 50–75% local travel within Cook, Will, and DuPage counties, with the remainder of work performed remotely from home. Candidates must reside in one of these counties. Strong preference is given to candidates with HCBS waiver, case management, and care coordination experience.

For the Illinois Plan, employees working with Physically Disabled/Elderly candidates must meet one of these additional 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 acquired through accomplishments demonstrating applicable knowledge, duties, scope, and skill at the level of the position.
• Reside in Cook, Will, or DuPage County, Illinois.
• For Illinois Plan employees working 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 with one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Nice To Haves

• HCBS waiver experience.
• Case management experience.
• Care coordination experience.

Responsibilities

• Evaluate member needs and available resources, and recommend and/or facilitate plans to achieve the best outcomes.
• Assist in developing ongoing long-term care plans or service plans and identify needed providers, specialists, and community resources.
• Coordinate between members and their families or caregivers and the care provider team to 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 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 applicable state, federal, and third-party payer regulations.
• 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 or caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
• Provide feedback to leadership 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) and stock purchase plans.
• Tuition reimbursement.
• Paid time off and holidays.
• Flexible approach to work, including remote, hybrid, field, or office work schedules.
• Potential additional forms of incentives; total compensation may vary based on job-related factors.

What This Job Offers

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