LTSS Service Care Coordinator

Centene Corporation • Morton Grove, IL

23d • Hybrid

About The Position

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans for long-term care members and educate members and their families or caregivers about available services and benefits to meet member needs.

This hybrid-remote role serves community-based members with aging and physical disability waivers and involves 75% travel into member homes. The initial training schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. CT. The subsequent main schedule is 8:00 a.m. to 4:30 p.m. CT, with a 30-minute lunch. Preference is given to applicants with case management, advocacy, or home-visit/community-travel experience who live within 30–40 minutes of Des Plaines, Illinois.

For the Illinois plan, candidates working with Physically Disabled/Elderly members must meet one of these criteria: hold an Illinois RN license; 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.

Requirements

• Bachelor's degree.
• One year of related experience.
• For Illinois Plan roles serving Physically Disabled/Elderly members, meet one of the following: an Illinois RN license; a bachelor's or master's degree in a human-services-related field as defined in the posting; or an LPN credential plus 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 30–40 minutes of Des Plaines, Illinois; nearby examples include Skokie, Niles, and Morton Grove.

Responsibilities

• Evaluate member needs and available resources, and recommend and/or facilitate a plan for the best outcome.
• Assist with developing ongoing long-term care plans or service plans and identify providers, specialists, and community resources needed for long-term care.
• Coordinate between members and/or their families or caregivers and the care provider team to ensure identified services are accessible.
• Provide resource support to members and their 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 updates based on identified member 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 activities to ensure compliance with current 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 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 work approach, with remote, hybrid, field, or office work schedules.
• Additional incentives may be included in total compensation; benefits may be subject to program eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level