LTSS Service Care Coordinator

Centene Management Company•Round Lake, IL
•Hybrid

About The Position

The LTSS Service Care Coordinator assists with developing, assessing, and coordinating holistic care management activities to support quality, cost-effective healthcare outcomes. The role serves community-based members with aging and physical disability waivers and may develop or assist with developing personalized long-term care service plans. The coordinator educates members and their families or caregivers about available services and benefits, and helps connect members with providers and community resources. This is a hybrid-remote position involving approximately 50% travel into member homes. Preference is given to applicants with case management, advocacy, home-visit, or community-travel experience who live within 25 minutes of Lindenhurst, Illinois. Initial training is Monday through Friday, 8:00 a.m.–5:00 p.m. CT; the following main schedule is 8:00 a.m.–4:30 p.m. CT, with a 30-minute lunch.

Requirements

  • Bachelor’s degree.
  • One year of related experience.
  • For the Illinois Plan, the employee working with Physically Disabled/Elderly candidates must meet one of the following: be an Illinois-licensed RN; 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.
  • Human-services-related fields listed for the Illinois Plan include 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.

Nice To Haves

  • Past case management, advocacy, home-visit, or community-travel experience.
  • Residence within 25 minutes of Lindenhurst, Illinois.

Responsibilities

  • Evaluate member needs and available resources, and recommend or facilitate plans for the best outcomes.
  • Assist in developing ongoing long-term care plans or service plans and identify needed providers, specialists, and community resources.
  • Coordinate between members and their families or caregivers and the care provider team to ensure identified services are accessible.
  • Provide resource support for needs such as employment, housing, participant direction, independent living, justice, and foster care, based on service assessments and plans.
  • Monitor care plans, member status, and outcomes as appropriate, and recommend changes based on identified member needs.
  • Work with long-term care healthcare providers and partners as appropriate to ensure member needs are met.
  • Collect, document, and maintain member information and care management activity records to support compliance with applicable regulators.
  • Perform on-site visits to assess member needs and collaborate with providers or resources, as appropriate.
  • Provide or facilitate education for members and their families or caregivers about procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
  • Provide leadership with feedback on opportunities to improve quality of care and service delivery cost-effectively.
  • Perform other duties as assigned.
  • Comply with all policies and standards.

Benefits

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