LTSS Service Care Coordinator

Centene Management Company•Schaumburg, 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 may develop or help develop personalized service care plans for long-term care members and educate members and their families or caregivers about available services and benefits. This field-based position requires approximately 50% local travel, including in-home visits, with the remaining time working remotely from home. The role primarily supports people enrolled in Physically Disabled (PD) and Elderly Waiver programs. Candidates must reside in the Shamburg, Illinois area.

Requirements

  • Bachelor's degree and one year of related experience, or equivalent experience demonstrated through relevant knowledge, duties, scope, and skills.
  • For the Illinois Plan, employees working with Physically Disabled/Elderly candidates must meet one of these criteria: Illinois RN license; a bachelor's or master's degree in a human-services-related field; or an LPN license with one year of experience conducting comprehensive assessments and providing formal services for the elderly.
  • Must reside in the Shamburg, Illinois area.
  • Approximately 50% local travel is required.

Responsibilities

  • Evaluate member needs and available resources, and recommend or facilitate plans for the best outcomes.
  • Develop ongoing long-term care plans or service plans and identify needed providers, specialists, and community resources.
  • Coordinate between members or their families and caregivers and the care provider team to ensure services are accessible.
  • Provide members and families or caregivers with resource support for needs such as employment, housing, participant direction, independent living, justice, and foster care, based on assessments and service plans.
  • Monitor care plans, member status, and outcomes, and recommend plan changes based on identified member needs.
  • Work with long-term care healthcare providers and partners to help ensure member needs are met.
  • Collect, document, and maintain member information and care management activities to support compliance with applicable state, federal, and third-party payer regulations.
  • Conduct 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 on 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) and stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible approach to work with remote, hybrid, field, or office schedules
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