LTSS Service Care Coordinator

Centene Management Company•Dekalb, IL

21d•Hybrid

About The Position

The LTSS Service Care Coordinator assists in developing, assessing, and coordinating holistic care management activities to support quality, cost-effective healthcare outcomes. The role may develop or help develop personalized service care plans for long-term care members and educates members and their families or caregivers about services and benefits available to meet member needs. This position supports members throughout Winnebago, Lee, Stephenson, DeKalb, Boone, or Ogle counties. 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. For the Illinois Plan, employees working with the Physically Disabled/Elderly population must additionally meet one of the specified criteria: hold an Illinois RN license; have a bachelor’s or master’s degree in a defined human-services-related field; or be an LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly. The stated pay range is $22.94–$38.79 per hour. Actual pay may vary based on skills, experience, education, other job-related factors permitted by law, and full-time or part-time status. Total compensation may include incentives, and benefits may depend on program eligibility. Centene describes its work as supporting individuals, families, and communities and states that it is an equal opportunity employer.

Requirements

Bachelor’s degree and one year of related experience, or equivalent experience demonstrated through applicable knowledge, duties, scope, and skill.
For the Illinois Plan, employees working with the Physically Disabled/Elderly population must meet one of these additional criteria: Illinois RN license; bachelor’s or master’s degree in a qualifying human-services-related field; or LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly.
Reside within or near the service area to support members effectively.
Ability to travel locally 50% of the time.
Knowledge of care coordination and community resources is relevant to the role.

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 or service plans and identify needed providers, specialists, and community resources.
Coordinate between members or their families and caregivers and the care provider team to help ensure identified services are accessible.
Provide resource support to members and families or caregivers 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 changes 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 when needed to assess member needs and collaborate with providers or resources.
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 the quality and cost-effectiveness of care and service delivery for long-term care members.
Perform other duties as assigned.
Comply with all policies and standards.