LTSS Service Care Coordinator

Centene Corporation•Round Lake, IL

19h•$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 develop or help develop personalized service plans for long-term care members and educate members and their families or caregivers about services and benefits available to meet member needs. The position serves community-based members with aging and physical disability waivers. It is hybrid-remote and involves travel into member homes for approximately 50% of the role. Preference is given to applicants with case management, advocacy, or home-visit/community-travel experience who live within 25 minutes of Lindenhurst, Illinois. Initial training is Monday through Friday, 8:00 a.m. to 5:00 p.m. CT. The regular schedule is 8:00 a.m. to 4:30 p.m. CT with a 30-minute lunch. For the Illinois Plan, applicants working with the Physically Disabled/Elderly population must meet one of the specified additional qualification pathways: Illinois RN licensure; a qualifying human-services-related bachelor's or master's degree; or an LPN license and one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Requirements

Bachelor's degree.
One year of related experience.
For Illinois Plan roles serving the Physically Disabled/Elderly population, meet at least one of these criteria: be an RN licensed in Illinois; hold a bachelor's or master's degree in a qualifying 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

Past case management, advocacy, or home-visit/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 with developing 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 help ensure identified services are accessible.
Provide 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 service plans.
Monitor care plans or service plans, member status, and outcomes as appropriate, and recommend plan updates based on identified 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 support compliance with state, federal, and third-party payer regulations.
Conduct 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 about procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
Provide leadership with feedback on opportunities to improve care quality and service delivery cost-effectively.
Perform other duties as assigned.
Comply with all policies and standards.