LTSS Service Care Coordinator

Centene Corporation•Aurora, IL

12d•$23 - $39

About The Position

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans for long-term care members and educate members and their families or caregivers about services and benefits available to meet member needs. This 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 ideal candidate has experience in case management and supporting waiver populations, including coordinating services and resources for members in the community. For Illinois Plan roles serving physically disabled or elderly candidates, applicants must meet one of the specified Illinois credentials or education and experience pathways. Brain Injury/HIV/AIDS roles also have specific nursing, social-work, or related education and experience criteria.

Requirements

Bachelor’s degree and one year of related experience, or equivalent experience demonstrated through applicable knowledge, duties, scope, and skills.
Candidates must reside within the designated ZIP codes for the assigned service area.
For Illinois Plan physically disabled/elderly candidates, meet one of the following: Illinois-licensed RN; bachelor’s or master’s degree in a specified human-services-related field; or Illinois LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly.
For Brain Injury/HIV/AIDS candidates, meet one of the following: Illinois-licensed RN with 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 of Social Work; or unlicensed social worker with at least a bachelor’s degree in social work, social sciences, or counseling.

Nice To Haves

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

Responsibilities

Evaluate member needs and available resources, and recommend or facilitate a plan for the best outcome.
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 the care provider team 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 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.
Conduct on-site visits as needed to assess member needs and collaborate with providers or resources.
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.