LTSS Service Care Coordinator

Centene Management Company•Glenview, IL

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 care 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 involves 50% local travel and 50% remote work-from-home. The service area includes Glenview, Morton Grove, Northbrook, Wilmette, and Hoffman Estates. Candidates should have prior case management experience and experience supporting HCBS waiver populations. For the Illinois Plan, employees working with Physically Disabled/Elderly candidates must meet one of the listed qualifications in addition to the general education and experience requirements: Illinois RN licensure; a qualifying bachelor’s or master’s degree in a human services-related field; or an LPN license plus one year of experience conducting comprehensive assessments and providing formal services for the elderly. The stated pay range is $22.94–$38.79 per hour. Actual pay may vary based on skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may include additional incentives. Benefits may depend on program eligibility.

Requirements

Bachelor’s degree and one year of related experience, or equivalent experience demonstrated through applicable knowledge, duties, scope, and skills.
Prior case management experience.
Experience supporting HCBS waiver populations.
For Illinois Plan employees working with Physically Disabled/Elderly candidates, meet one of these criteria: Illinois RN license; bachelor’s or master’s degree in a human services-related field; or LPN license with one year of experience conducting comprehensive assessments and providing formal services for the elderly.
A qualifying human services-related degree for the Illinois Plan may be in 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.

Responsibilities

Evaluate member needs and available resources, and recommend or facilitate plans for the best outcome.
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 service assessments and plans.
Monitor care plans or service plans, member status, and outcomes as appropriate, and recommend plan changes based on identified needs.
Interact with long-term care healthcare providers and partners as appropriate to ensure member needs are met.
Collect, document, and maintain long-term care member information and care management activity records to support compliance with state, federal, and third-party payer regulations.
Perform 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 quality of care and service delivery cost-effectively.
Perform other duties as assigned.
Comply with all policies and standards.