LTSS Service Care Coordinator

Centene Management Company • Aurora, IL

21d • Hybrid

About The Position

The LTSS Service Care Coordinator assists with 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 services and benefits that meet member needs.

This position supports members throughout Aurora, Naperville, and West Chicago. It requires 50% local travel, with the remaining time working remotely from home. Candidates must reside within or near the service area. The ideal candidate has case management experience with waiver populations, strong care coordination skills, and knowledge of community resources.

Requirements

• Bachelor's degree and one year of related experience, or equivalent experience demonstrated through applicable knowledge, duties, scope, and skills.
• For Illinois Plan work with Physically Disabled/Elderly candidates, meet one of the following: Illinois RN license; a bachelor's or master's degree in a qualifying human services-related field; or an LPN with one year of experience conducting comprehensive assessments and five years of experience providing formal services for the elderly.
• Other state-specific requirements may apply.
• Reside within or near the Aurora, Naperville, and West Chicago service area.
• Ability to travel locally 50% of the time.

Nice To Haves

• Case management experience working with waiver populations.
• Strong care coordination skills and community resource knowledge.

Responsibilities

• Evaluate member needs and available resources, and recommend or facilitate plans for the best outcomes.
• Assist with developing ongoing long-term care plans and identify needed providers, specialists, and community resources.
• Coordinate among members, families or caregivers, and care provider teams to help ensure identified services are accessible.
• Provide members and 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, member status, and outcomes as appropriate, and recommend plan 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 requirements.
• Perform on-site visits to assess member needs and collaborate with providers or resources, as appropriate.
• Provide or facilitate education for members and 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.

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