LTSS Service Care Coordinator

Centene Management Company•Chicago, IL

1d•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/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.

Requirements

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

Nice To Haves

Past case management experience.
Past advocacy experience.
Past home visits/community travel experience.
Reside in the following Chicago zip codes: 60615, 60616, 60617, 60619, 60628, 60633, 60637, 60649, 60827.
Reside in the following zip codes near the territory: 60406, 60482, 60609, 60620, 60621, 60629, 60636, 60632, 60638, 60643, 60652, 60655, 60803, 60805.

Responsibilities

Develop, assess, and coordinate holistic care management activities.
Develop or assist with developing personalized service care plans/service plans for long-term care members.
Educate members and their families/caregivers on available services and benefits.
Evaluate member needs and available resources to recommend and/or facilitate the best outcome.
Identify providers, specialists, and community resources needed for long-term care.
Coordinate between members, families/caregivers, and care provider teams to ensure accessible services.
Provide resource support for various member needs (e.g., employment, housing, participant direction, independent living, justice, foster care).
Monitor care plans/service plans, member status, and outcomes, and provide recommendations.
Interact with long-term care healthcare providers and partners.
Collect, document, and maintain long-term care member information and care management activities.
Perform on-site visits to assess member needs.
Provide and/or facilitate education to long-term care members and their families/caregivers.
Provide feedback to leadership on opportunities to improve quality of care and service delivery.
Perform other duties as assigned.
Comply with all policies and standards.