LTSS Service Care Coordinator

Centene Corporation • Remote-IL, IL

28d • $23 - $39 • 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 involve developing or assisting with personalized service care plans for long-term care members and educating members and their families or caregivers about available services and benefits.

The position requires 50–75% local travel within McLean, Livingston, Iroquois, Vermilion, Champaign, DeWitt, and Piatt counties; the remainder of the work is performed remotely from home. Candidates must reside in one of these counties. Strong preference is given to candidates with HCBS waiver, case management, and care coordination experience.

For the Illinois Plan, employees working with Physically Disabled/Elderly candidates must also meet one of these criteria: hold an Illinois RN license; have a bachelor’s or master’s degree in a specified human services-related field; or be an LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Requirements

• Bachelor’s degree and one year of related experience, or equivalent experience acquired through applicable knowledge, duties, scope, and skills reflective of the position level.
• Must reside in McLean, Livingston, Iroquois, Vermilion, Champaign, DeWitt, or Piatt County, Illinois.
• For the Illinois Plan, employees working with Physically Disabled/Elderly candidates must meet one of the following: be an RN licensed in Illinois; have a bachelor’s or master’s degree in a specified human services-related field; or be an LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Nice To Haves

• HCBS waiver experience.
• Case management experience.
• Care coordination experience.

Responsibilities

• Evaluate member needs and available resources, and recommend or facilitate a plan for the best outcome.
• 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 or their families and caregivers and the care provider team to help ensure identified services are accessible.
• Provide resource support to members and their 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 updates based on identified member needs.
• Interact with long-term care healthcare providers and partners as appropriate to help 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 as needed to assess member needs and collaborate with providers or resources.
• Provide or facilitate education for 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 quality of care and service delivery for long-term care members in a cost-effective manner.
• Perform other duties as assigned.
• Comply with all policies and standards.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible approach to work, with remote, hybrid, field, or office work schedules.
• Total compensation may include additional forms of incentives.

What This Job Offers

• Job Type: Full-time