LTSS Service Care Coordinator

Centene Corporation•Oak Lawn, IL

20d•$23 - $39•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 coordinator may develop or help develop personalized service plans for long-term care members and educate members and their families or caregivers about services and benefits available to meet their needs. This is a field-based, work-from-home position supporting members across Southern Cook County, including Country Club Hills, Chicago Ridge, Bridgeview, Tinley Park, Palos Hills, Justice, Midlothian, Hickory Hills, Hometown, Oak Lawn, and Sauk Village. Approximately 50% of the role involves local travel for member visits, with the remaining time spent working remotely from home. The role is suited to someone with case management experience, preferably with Home and Community-Based Services (HCBS) waiver populations, and a strong understanding of care coordination, community resources, and member-centered service planning. For Illinois Plan employees working with Physically Disabled/Elderly candidates, one of the following additional criteria is required: an Illinois RN license; a bachelor's or master's degree in a specified human services-related field; or an LPN license and one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Requirements

Bachelor's degree and one year of related experience, or equivalent experience acquired through applicable knowledge, duties, scope, and skills reflective of the position level.
For Illinois Plan employees working with Physically Disabled/Elderly candidates, meet one of these criteria: Illinois RN licensure; a bachelor's or master's degree in a human services-related field as specified in the posting; or LPN licensure plus one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Nice To Haves

Case management experience, preferably with Home and Community-Based Services (HCBS) waiver populations.
Strong understanding of care coordination, community resources, and member-centered service planning.

Responsibilities

Evaluate member needs and available resources, and recommend and/or facilitate plans to achieve the best outcomes.
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 care provider teams to help ensure identified services are accessible.
Provide 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 updates 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 regulations.
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 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.