LTSS Service Care Coordinator

Centene Corporation•Granite City, IL

9d•$23 - $39•Hybrid

About The Position

Centene is transforming the health of communities, one person at a time. This hybrid-remote role involves developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. The position focuses on assisting with the development of personalized service care plans for long-term care members, educating them and their families/caregivers on available services and benefits, and evaluating member needs against available resources to facilitate the best outcomes. The role requires coordination between members, families/caregivers, and care provider teams, providing resource support for various needs, and monitoring care plans and member status. It also involves interacting with healthcare providers, documenting member information, performing on-site visits, and providing education on healthcare procedures and benefits. Feedback on quality of care improvements is also a component of this role.

Requirements

Requires a Bachelor's degree and 1 year of related experience.
For Illinois Plan Only: Candidate must meet one of the 3 following criteria:
RN licensed in Illinois.
Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: 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.
LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly

Nice To Haves

Preference will be given to applicants with past case management, advocacy or home visits/community travel experiences who are located within 30 miles of Alton/Wood River of Madison County, IL.

Responsibilities

Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate
Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Performs other duties as assigned
Complies with all policies and standards