LTSS Service Care Coordinator

Centene Corporation•Barrington, IL

8d•$23 - $39•Hybrid

About The Position

Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. This hybrid-remote position (50% local travel) supports members enrolled in Aging and Physical Disabilities Waiver programs. The position assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. It may develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. The role evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome. It assists with developing ongoing long-term care plans/service plans and works to identify providers, specialists, and/or community resources needed for long-term care. The role coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members. It 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. The role monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs. It interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met. The role 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. It may perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate. The role 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. It 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 and complies with all policies and standards.

Requirements

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

Nice To Haves

Reside within 30 minutes of the Lake Zurich/Barrington, IL area in either Lake or Cook county, IL
Past case management experience
Past advocacy experience
Past home visits/community travel experience

Responsibilities

Conducting in-home assessments
Developing and coordinating care plans
Connecting members with healthcare providers, community resources, and durable medical equipment (DME) services
Developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes
Developing or assisting with developing personalized service care plans/service plans for long-term care members
Educating members and their families/caregivers on services and benefits available to meet member needs
Evaluating the needs of the member and available resources, and recommending/facilitating the plan for the best outcome
Identifying providers, specialists, and/or community resources needed for long-term care
Coordinating between the member/family/caregivers and the care provider team to ensure identified services are accessible
Providing resource support to members and their families/caregivers for various needs (e.g., employment, housing, participant direction, independent living, justice, foster care)
Monitoring care plans/service plans, member status, and outcomes, and providing recommendations
Interacting with long-term care healthcare providers and partners
Collecting, documenting, and maintaining long-term care member information and care management activities
Performing on-site visits to assess member's needs
Collaborating with providers or resources
Providing and/or facilitating education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
Providing feedback to leadership on opportunities to improve and enhance quality of care and service delivery
Performing other duties as assigned
Complying with all policies and standards