LTSS Service Care Coordinator

Centene Corporation•Streamwood, IL

21h•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. Centene is hiring an LTSS Service Care Coordinator for our Illinois market, supporting our Medicaid Traumatic Brain Injury and HIV/Aids population. In this role, you will conduct in-home and some facility visits to complete assessments, coordinate care, and assist members with connecting to providers and services. This is a 75% field-based position covering the following areas in Illinois Elgin, Hoffman Estates, Lincolnwood, Morton Grove, Niles, Schaumburg, Skokie, Streamwood. Schedule: Monday through Friday, 8:00 a.m. – 4:30 p.m. Position Purpose: 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.

Requirements

Requires a Bachelor's degree and 1 year of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
For Illinois Plan Only: In addition to the requirements above the employee working on Brain Injury/HIV/AIDS Candidate must meet one of the 3 following criteria:
A Registered Nurse (RN) licensed in Illinois and a bachelor’s degree in nursing, social work, social sciences or counseling or four (4) years of case management experience
Certified or Licensed social worker with Bachelor’s degree in either social work, social sciences or counseling or a Masters of social work
Unlicensed social worker: minimum of bachelor’s degree in social work, social sciences, or counseling
In addition to meeting one of the above criteria, must have experience working with: Addictive and dysfunctional family systems, Racial and ethnic minorities, Homosexuals and bisexuals, Persons with AIDS, and Substance abusers

Responsibilities

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