LTSS Service Care Coordinator

Centene Corporation•Remote-IA, IA

12d•$23 - $39•Remote

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/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.

Requirements

Bachelor's degree required and 1 year of related experience.
Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
For Iowa Plan Only: Bachelor's degree required and 1+ years of experience with populations served, or RN with 6+ years of experience with population served.
Physically Disabled/Elderly: RN licensed in Illinois.
Physically Disabled/Elderly: Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: 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.
Physically Disabled/Elderly: LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly
Brain Injury/HIV/AIDS: A Registered Nurse (RN) licensed in Illinois and a bachelor’s degree in nursing, social work, social sciences or counseling or four (4) years of case management experience
Brain Injury/HIV/AIDS: Certified or Licensed social worker with Bachelor’s degree in either social work, social sciences or counseling or a Masters of social work
Brain Injury/HIV/AIDS: Unlicensed social worker: minimum of bachelor’s degree in social work, social sciences, or counseling
In addition to meeting one of the above criteria, must have experience working with: Addictive and dysfunctional family systems
In addition to meeting one of the above criteria, must have experience working with: Racial and ethnic minorities
In addition to meeting one of the above criteria, must have experience working with: Homosexuals and bisexuals
In addition to meeting one of the above criteria, must have experience working with: Persons with AIDS, and
In addition to meeting one of the above criteria, must have experience working with: Substance abusers
For Superior Health Plan Only: Direct experience working with individuals who have disabilities and/or with vulnerable populations who have chronic or complex conditions, including children and young adults within three of the last five years.

Responsibilities

Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate
Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Performs other duties as assigned
Complies with all policies and standards