LTSS Service Care Coordinator

Centene Management Company•Springfield, IL

3d•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 long-term care service plans and educate members and their families or caregivers about services and benefits that meet member needs. This position supports individuals receiving Long-Term Services and Supports (LTSS) through the Illinois Health Plan, primarily members in the Physical Disability and Aging waiver. The position combines remote work with approximately 50% local travel for in-home member visits. Candidates residing in the listed Illinois counties or nearby communities are preferred. The role evaluates member needs and available resources, supports the development and monitoring of care plans, coordinates services and providers, and connects members and families with community resources. It also documents care management activity, supports compliance with applicable regulations, and provides feedback on opportunities to improve quality and cost-effective service delivery. Training is Monday through Friday, 8:00 AM–5:00 PM CT. The regular schedule is Monday through Friday, 8:00 AM–4:30 PM CT.

Requirements

Bachelor's degree and one year of related experience.
For the Illinois Plan, candidates working with Physically Disabled/Elderly members must meet one of the following: be an RN licensed in Illinois; have a bachelor's or master's degree in a human services-related field; or be an LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly.
The specified human services-related fields include 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.

Nice To Haves

Case management, advocacy, or home visit experience is strongly preferred.
Preference for applicants residing in Jersey, Macoupin, Montgomery, Sangamon, Morgan, Cass, Menard, Logan, or Mason County, Illinois, or nearby cities including Ashland, Jerseyville, Lincoln, Carlinville, Havana, Petersburg, Hillsboro, Jacksonville, and Springfield.

Responsibilities

Evaluate member needs and available resources, and recommend and/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 and/or their families or caregivers and the care provider team to help ensure services are accessible.
Provide resource support based on service assessments and plans for needs such as employment, housing, participant direction, independent living, justice, and foster care.
Monitor care plans, member status, and outcomes, and recommend plan changes based on identified member needs.
Interact with long-term care healthcare providers and partners to help ensure member needs are met.
Collect, document, and maintain member information and care management activity to support compliance with state, federal, and third-party payer requirements.
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 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.