LTSS Service Care Coordinator

Meridian of Illinois; Barrington (IL); Hybride; USD 32 000 - 53 000; Plein temps

Résumé du poste

Centene is seeking a Care Management specialist to assist in developing holistic care plans for community-based members, including aging and physical disability waivers. The role is hybrid-remote with 50% travel to member homes and requires proximity to Huntley, IL.

Training runs weekdays, with ongoing scheduling from 8-5 CT to 8-4:30 CT with a 30-minute lunch. Ideal candidates have RN licensure in Illinois or a related bachelor/master’s degree and background in case management or advocacy.

Qualifications

• Requires a Bachelor's degree and 1 year of related experience.
• RN license in Illinois or equivalent LPN with geriatric assessment experience.
• Preference for prior case management, advocacy or home visiting experience.

Responsabilités

• Assess member needs and coordinate care plans to meet outcomes.
• Develop long-term care plans and identify providers and resources.
• Coordinate between member/family and care team to ensure access to services.
• Provide education to members and families on procedures, options, and benefits.
• Monitor plans and outcomes and report to leadership for quality improvement.
• Perform on-site visits as needed and ensure regulatory compliance.

Connaissances

Case management

Advocacy

Home visits

Care coordination

Formation

Bachelor's degree

RN licensed (IL)

LPN with 1 year experience

Master’s degree related field (optional)

Description du poste

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: This role serves community-based members with aging and physical disability waivers. It is a hybrid-remote role with 50% travel into member homes. Preference will be given to applicants with past case management, advocacy or home visits/community travel experience who reside within 25 minutes of Huntley, Illinois. The initial training schedule is Monday through Friday, 8-5 pm CT and the following main schedule will be 8-4:30 pm CT with 30-minute lunch.

• 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.
For Illinois Plan Only: In addition to the requirements above the employee working on
Physically Disabled/Elderly
Candidate Must Meet One Of The 3 Following Criteria

• RN licensed in Illinois.
• 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.
• LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly

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.
Centene offers a comprehensive benefits package including: 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