LTSS Service Care Coordinator

Centene Corporation•Chicago, IL

1d•$23 - $39•Hybrid

About The Position

Centene is seeking an LTSS Service Care Coordinator to join their team. This role is crucial in transforming the health of their 28 million members by coordinating holistic care management activities to achieve quality, cost-effective healthcare outcomes. The position involves developing and assisting with personalized service care plans for long-term care members, educating them and their families on available services and benefits, and evaluating member needs against available resources. This is a hybrid-remote role requiring local home visits within specific Chicago zip codes, focusing on Physically Disabled/Elderly waiver services. Preference will be given to applicants with relevant experience and those residing in or near the designated territory.

Requirements

Requires a Bachelor's degree and 1 year of related experience.
For Illinois Plan Only: Candidate must meet one of the 3 following criteria:
1. RN licensed in Illinois.
2. Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: 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.
3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly.

Nice To Haves

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

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.