LTSS Service Care Coordinator

Centene Corporation; DeKalb (IL); Hybrid; USD 32,000 - 53,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work with remote, hybrid, or:

Job summary

Centene Corporation is seeking a qualified Care Manager to support members in Illinois with holistic care management activities. The role involves developing personalized service plans, educating members and families, and coordinating with care providers to meet long-term care needs from a flexible mix of remote and on-site work.

Candidates should have a Bachelor's degree and at least one year of related experience, with Illinois-specific options including RN, Bachelor/Master in related fields,

Qualifications

• Requires a Bachelor's degree and 1 year of related experience or equivalent experience.
• Illinois Plan: RN license in Illinois; Bachelor/Master in human services; or LPN with 1 year experience in comprehensive assessments and service provision.

Responsibilities

• Evaluates member needs and resources to plan optimal outcomes.
• Develops long-term care/service plans and identifies providers or resources.
• Coordinates between member/family and care provider teams for service accessibility.
• Provides resource support for employment, housing, independent living, and related areas.
• Monitors care plans and outcomes; offers recommendations based on needs.
• Interacts with long-term care providers to ensure member needs are met.
• Collects and maintains member information to ensure regulatory compliance.

Skills

Case management

Care coordination

Community resources knowledge

Education

Bachelor's degree

1 year related experience

Job description

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 position supports members throughout Winnebago, Lee, Stephenson, Dekalb, Boone or Ogle and requires 50% local travel, with the remaining time working remotely from home. Candidates must reside within or near the service area to effectively support member needs. The ideal candidate will have case management experience working with waiver populations, along with strong care coordination and community resource knowledge.

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

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:

1. RN licensed in Illinois.
2. 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.
3. 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

About Our Company

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.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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.

Equal Opportunity Statement

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