LTSS Service Care Coordinator

Centene Corporation•Chicago, IL

3d•$23 - $39•Hybrid

About The Position

Assists in developing, assessing, and coordinating holistic care management activities to support quality, cost-effective healthcare outcomes. The coordinator may develop or help develop personalized service plans for long-term care members and educate members and their families or caregivers about available services and benefits. This role supports individuals receiving Long-Term Services and Supports through the Illinois Health Plan, primarily members in the Physical Disability and Aging waiver. It combines remote work with approximately 75% local travel for in-home member visits. Candidates should reside in the specified Chicago-area or nearby ZIP codes. 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. The coordinator evaluates member needs and available resources, helps plan and coordinate long-term care services, connects members with providers and community resources, monitors care plans and outcomes, documents care management activities, and provides education and resource support. The position also collaborates with healthcare providers and partners and offers leadership feedback on opportunities to improve quality and cost-effective service delivery. Requires a bachelor's degree and one year of related experience. For the Illinois Plan's Physically Disabled/Elderly work, candidates must also meet one of these criteria: be an Illinois-licensed RN; have 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.

Requirements

Bachelor's degree.
One year of related experience.
For Illinois Plan Physically Disabled/Elderly work, meet one of the following: Illinois RN license; bachelor's or master's degree in a qualifying human-services-related field; or LPN qualification with one year of experience conducting comprehensive assessments and providing formal services for the elderly.
Applicants should reside in one of the listed Chicago-area or nearby ZIP codes.
Training schedule: Monday through Friday, 8:00 AM–5:00 PM CT; regular schedule: Monday through Friday, 8:00 AM–4:30 PM CT.

Nice To Haves

Case management experience.
Advocacy experience.
Home visit experience.

Responsibilities

Evaluate member needs and available resources, and recommend 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 their families or caregivers and the care provider team to help ensure identified services are accessible.
Provide members and their families or caregivers with resource support 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, and recommend plan changes based on identified needs.
Interact with long-term care healthcare providers and partners to help ensure member needs are met.
Collect, document, and maintain long-term care member information and care management activities in compliance with applicable state, federal, and third-party payer requirements.
Perform on-site visits to assess member needs and collaborate with providers or resources, as appropriate.
Provide or facilitate education for members and 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.