LTSS Service Care Coordinator

Centene Corporation•Elmhurst, IL

21d•$23 - $39

About The Position

Assists in developing, assessing, and coordinating holistic care management activities to support quality, cost-effective healthcare outcomes. May develop or help develop 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 up to 50% local travel to support members in Addison, Bensenville, Bartlett, Bloomingdale, Carol Stream, Elmhurst, Itasca, Roselle, and Wood Dale. The ideal candidate has case management experience with waiver populations and a strong understanding of community-based services and care coordination. For the Illinois Plan, employees working with Physically Disabled/Elderly candidates must meet one of the following additional criteria: hold an Illinois RN license; have a bachelor’s or master’s degree in a specified 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 skills.
For the Illinois Plan, employees working with Physically Disabled/Elderly candidates must meet one of these criteria: 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.
The ideal candidate has case management experience working with waiver populations and a strong understanding of community-based services and care coordination.
Ability to travel locally up to 50% to support members in the listed communities.

Responsibilities

Evaluate member needs and available resources, and recommend or facilitate a plan to achieve the best outcome.
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 and caregivers and the care provider team to ensure identified services are accessible.
Provide resource support for needs such as employment, housing, participant direction, independent living, justice, and foster care, based on assessments and service plans.
Monitor care plans, member status, and outcomes as appropriate, and recommend changes based on identified needs.
Interact with long-term care healthcare providers and partners to help ensure member needs are met.
Collect, document, and maintain member information and care management activity records to ensure compliance with applicable 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 their families or 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.