LTSS Service Care Coordinator

Meridian of Illinois; Chicago (IL); Híbrido; USD 60 000 - 80 000; Tempo integral

Resumo da oferta

Centene, a leading healthcare company, seeks a care management professional in the Chicago area for a hybrid-remote role. You will assess member needs, coordinate care plans, and connect members with services and providers to improve health outcomes.

The position requires a Bachelor's degree with at least one year of related experience. Illinois RN licensure or LPN with one year of assessment experience is preferred, with potential for on-site visits and family education.

Qualificações

• Requires a Bachelor's degree and 1 year of related experience.
• RN license in Illinois or LPN with 1 year experience in comprehensive assessments.
• Bachelor’s or Master’s degree in a human services related field may meet criteria.

Responsabilidades

• Evaluates the member's needs, resources, and recommends the care plan for outcomes.
• Assists with developing ongoing long-term care plans and identifies needed providers and resources.
• Coordinates between the member, family/caregivers, and care teams to ensure services are accessible.
• Provides resource support to members and families for needs such as housing, employment, or independent living.
• Monitors care plans and outcomes; offers recommendations based on member needs.
• Interacts with long-term care providers and partners to meet member needs.
• Collects and maintains member information to ensure regulatory compliance.
• May perform on-site visits to assess member needs and collaborate with providers.

Formação académica

Bachelor's degree

RN licensed in Illinois

LPN license with 1 year experience

Descrição da oferta de emprego

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 hybrid-remote role is work-from-home with 50% local home visits focusing on Physically Disabled/Elderly waiver services. The training schedule is Monday through Friday 8-5 pm CT. The main schedule is 8-4:30pm CT. Preference will be given to applicants who reside in the service area/following zip codes near the heart of Chicago: 60601, 60602, 60603, 60604, 60605, 60606, 60607, 60608, 60610, 60611, 60612, 60613, 60614, 60618, 60622, 60623, 60624, 60641, 60642, 60647, 60657, 60661. Also open to applicants in the following zip codes near the territory: 60130, 60301, 60302, 60303, 60304, 60402, 60534, 60546.

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

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

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