LTSS Service Care Coordinator

Centene Management Company•Oak Lawn, IL

19d•Hybrid

About The Position

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 for long-term care members and educate members and their families or caregivers about services and benefits available to meet member needs. This is a field-based, work-from-home position supporting members throughout Southern Cook County, including Country Club Hills, Chicago Ridge, Bridgeview, Tinley Park, Palos Hills, Justice, Midlothian, Hickory Hills, Hometown, Oak Lawn, and Sauk Village. The role requires approximately 50% local travel for member visits, with the remaining time spent working remotely from home. The ideal candidate has case management experience, preferably with Home and Community-Based Services (HCBS) waiver populations, and a strong understanding of care coordination, community resources, and member-centered service planning.

Requirements

Bachelor's degree and one year of related experience, or equivalent experience demonstrated through applicable knowledge, duties, scope, and skills.
For Illinois Plan employees serving Physically Disabled/Elderly candidates, one of the following is required: Illinois RN license; a bachelor's or master's degree in a human-services-related field; or an LPN license with one year of experience conducting comprehensive assessments and providing formal services to the elderly.
Approximately 50% local travel to conduct member visits in Southern Cook County.
For Illinois Plan employees serving Physically Disabled/Elderly candidates, qualifying human-services-related bachelor's or master's degrees include 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

Case management experience, preferably with Home and Community-Based Services (HCBS) waiver populations.
Strong understanding of care coordination, community resources, and member-centered service planning.

Responsibilities

Evaluate member needs and available resources, and recommend and/or facilitate plans for the best outcomes.
Assist with developing ongoing long-term care plans or service plans and identify providers, specialists, and community resources needed for long-term care.
Coordinate between members and/or their families or caregivers and the care provider team to help ensure identified services are accessible.
Provide members and their 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 or service plans, member status, and outcomes, as appropriate, and recommend plan updates based on identified member needs.
Interact with long-term care healthcare providers and partners, as appropriate, to ensure member needs are met.
Collect, document, and maintain long-term care member information and care management activities to ensure compliance with applicable state, federal, and third-party payer regulations.
Perform on-site visits to assess member needs and collaborate with providers or resources, as appropriate.
Provide or facilitate education for long-term care members and their families or caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
Provide feedback to leadership on opportunities to improve and enhance quality of care and service delivery cost-effectively.
Perform other duties as assigned.
Comply with all policies and standards.