LTSS Service Care Coordinator

Centene Management Company•Chicago, IL

16h•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 is a hybrid-remote role with 75% local home visits focusing on Physically Disabled/Elderly waiver services. Preference will be given to applicants with past case management, advocacy or home visits/community travel experience who are located in the south and southwest suburbs of Chicago. The position assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. It may involve developing personalized service care plans for long-term care members and educating members and their families/caregivers on available services and benefits. The role evaluates member needs and available resources, recommends and/or facilitates plans for the best outcome, and coordinates between the member, family/caregivers, and the care provider team to ensure services are accessible. It also provides resource support for various member needs, monitors care plans and member status, and interacts with healthcare providers and partners. The role involves collecting and maintaining member information and care management activities for compliance, and may perform on-site visits. Education is provided to members and families on procedures, healthcare provider instructions, service options, referrals, and benefits. Feedback is provided to leadership on improving care quality and service delivery. 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: In addition to the requirements above the employee working on Physically Disabled/Elderly Candidate must meet one of the 3 following criteria: 1. RN licensed in Illinois. 2. 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. 3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly.

Nice To Haves

Past case management experience.
Advocacy experience.
Home visits/community travel experience.
Located in the following south and southwest suburbs of Chicago: 60406, 60482, 60609, 60620, 60621, 60629, 60632, 60636, 60638, 60643, 60652, 60655, 60803, 60805, 60808 [nearby cities include: Blue Island, Worth, New City, Back of the Yards, Bridgeport (partially), Auburn Gresham, Englewood, Chicago Lawn / West Lawn, Gage Park, Archer Heights, West Englewood, Clearing, Beverly, Morgan Park, Washington Heights, Ashburn, West Lawn, Alsip, Evergreen Park, Calumet City].

Responsibilities

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/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
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.