LTSS Service Care Coordinator

Centene Management Company; Elmhurst (IL); Hybrid; USD 32,000 - 53,000; Full time

Benefits offered by this job

Health insurance

401K

Tuition reimbursement

Paid time off + holidays

Flexible work arrangement: remote,hyBr

Job summary

Centene Management Company seeks a care coordination professional to develop and assess holistic care plans for long-term care members. The role involves coordinating with families and providers, educating members about services, and ensuring access to resources across multiple Illinois communities.

The ideal candidate has case management experience, a strong understanding of community services, and the ability to travel up to 50% to Addison, Bensenville, Bartlett, Bloomingdale, Carol Stream,

Qualifications

• Requires a Bachelor's degree and 1 year of related experience or equivalent.
• RNs licensed in Illinois are preferred for Illinois Plan roles.
• LPNs with 1 year of relevant experience may be considered.

Responsibilities

• Evaluate member needs and available resources to plan best outcomes.
• Develop long-term care plans and identify providers and resources.
• Coordinate between members, families, and care teams to ensure access to services.
• Provide resource support for needs such as housing, employment, and independent living.
• Monitor care plans and outcomes and adjust as needed.
• Interact with long-term care providers and partners to meet needs.
• Collect and maintain member information to comply with regulations.
• May perform on-site visits to assess needs and collaborate with providers.
• Provide education on procedures, services, and benefits to members and families.
• Offer feedback to leadership to improve quality and cost-effectiveness.

Skills

Case management

Care coordination

Community resources

Documentation

Education

RN licensed in Illinois

Bachelor's degree in human services related field

Master’s Degree in human services related field

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 requires up to 50% local travel to support members throughout Addison, Bensenville, Bartlett, Bloomingdale, Carol Stream, Elmhurst, Itasca, Roselle, and Wood Dale. The ideal candidate will have case management experience working with waiver populations and a strong understanding of community-based services and care coordination.

• 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

• 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

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.