LTSS Service Care Coordinator

Centene Corporation • Remote-IA, IA

16h • $23 - $39 • Remote

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 on services and benefits available to meet member needs.

This remote role supports youth placed across state lines in inpatient behavioral health facilities, ensuring coordination of care and treatment services. The position evaluates member needs and available resources, helps create long-term care plans, coordinates access to providers and community resources, monitors member status and outcomes, and supports members and their families or caregivers with education and referrals. The role may involve on-site visits and requires maintaining documentation in compliance with applicable regulations.

Requirements

• Bachelor's degree and 1 year of related experience, or equivalent experience acquired through applicable knowledge, duties, scope, and skills.
• For the Iowa Plan: Bachelor's degree and at least 1 year of experience with populations served, or RN with at least 6 years of experience with the population served.
• For Physically Disabled/Elderly populations, must meet one of the following: RN licensed in Illinois; a bachelor's or master's degree in a human-services-related field as defined in the posting; or LPN with 1 year of experience conducting comprehensive assessments and providing formal services for the elderly.
• For Brain Injury/HIV/AIDS populations, must meet one of the following: Illinois-licensed RN with a bachelor's degree in nursing, social work, social sciences, or counseling, or 4 years of case management experience; certified or licensed social worker with a bachelor's degree in social work, social sciences, or counseling, or a master's degree in social work; or unlicensed social worker with at least a bachelor's degree in social work, social sciences, or counseling.
• For Brain Injury/HIV/AIDS populations, experience working with addictive and dysfunctional family systems, racial and ethnic minorities, homosexuals and bisexuals, persons with AIDS, and substance abusers.

Responsibilities

• Evaluates member needs and available resources, and recommends or facilitates plans for the best outcome.
• Assists with developing ongoing long-term care plans and identifies providers, specialists, and community resources needed for long-term care.
• Coordinates between members and/or their families or caregivers and care provider teams to ensure identified services are accessible.
• Provides resource support to members and families or caregivers for needs such as employment, housing, participant direction, independent living, justice, and foster care, based on assessments and plans.
• Monitors care plans, member status, and outcomes, and recommends changes based on identified member needs.
• Interacts with long-term care healthcare providers and partners to help ensure member needs are met.
• Collects, documents, and maintains long-term care member information and care management activities to support compliance with state, federal, and third-party payer regulations.
• May conduct on-site visits to assess member needs and collaborate with providers or resources.
• Provides or facilitates education for members and families or caregivers on procedures, provider instructions, service options, referrals, and healthcare benefits.
• Provides leadership feedback on opportunities to improve quality of care and service delivery cost-effectively.
• Performs other duties as assigned.
• Complies with all policies and standards.

Benefits

• Competitive pay
• Health insurance
• 401(k) plan
• Stock purchase plan
• Tuition reimbursement
• Paid time off and holidays
• Flexible approach to work schedules, including remote, hybrid, field, or office work

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level