LTSS Service Care Coordinator

Centene Corporation; Deutschland; Hybrid; EUR 41.000 - 69.000; Vollzeit

Benefits dieser Stelle

Health insurance

401K plan

Stock purchase plan

Tuition reimbursement

PTO + holidays

Flexible work schedules

Zusammenfassung

Centene Corporation is seeking a care management professional to assist in developing, assessing, and coordinating holistic care management activities for long-term care members. You will educate members and caregivers on services and benefits, and help ensure access to needed resources.

Responsibilities include evaluating needs, coordinating plans, identifying providers, and monitoring outcomes while maintaining regulatory compliance. A Bachelor’s degree with related experience is required.

Qualifikationen

• Bachelor's degree and 1 year of related experience.
• Direct experience working with individuals who have disabilities and/or with vulnerable populations who have chronic or complex conditions within the last five years.

Aufgaben

• Evaluate the needs of the member, resources available, and recommend/facilitate the plan for the best outcome.
• Assist with developing long-term care plans and identify providers, specialists, and community resources.
• Coordinate between member/family/caregivers and care provider team to ensure services are accessible.
• Provide resource support to members and families/caregivers for needs (employment, housing, independent living, etc.).
• Monitor care plans, member status and outcomes, and provide recommendations.
• Interact with long-term care providers and partners to meet member needs.
• Collect, document and maintain member information to ensure regulatory compliance.
• Perform on-site visits to assess needs and collaborate with providers/resources.
• Provide education to members and families on procedures, options and benefits.
• Provide feedback to leadership on quality improvements and cost-effective delivery.

Ausbildung

Bachelor's degree

Jobbeschreibung

Position Purpose: 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.

Key Details: Must reside in the state of Texas. Direct experience working with individuals who have disabilities and/or with vulnerable populations who have chronic or complex conditions, including children and young adults.

• 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

Education/Experience: Requires a Bachelor's degree and 1 year of related experience.

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

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. Other state specific requirements may apply. required.

Pay Range: $22.94 - $38.79 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

• Competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
• Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Transforming the health of the communities we serve, one person at a time.

Centene Corporation is a leading healthcare enterprise providing affordable, high-quality services to underserved populations through local health plans and government-sponsored programs.