LTSS Service Care Coordinator

Centene Corporation; Granite City (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

Job summary

Centene Corporation in Illinois is seeking a Care Manager to assist in developing and coordinating holistic care management for LTSS members. You will work remotely with 50% local travel for in-home visits and help educate members and families on services and benefits.

The role requires a Bachelor's degree and at least one year of related experience; RN licensed in Illinois or a related human services degree is preferred for the Illinois plan.

Qualifications

• Requires a Bachelor's degree and 1 year of related experience.
• RN licensed in Illinois is acceptable/preferred for Illinois Plan.
• Experience in case management, advocacy or home visits is preferred.

Responsibilities

• Evaluates member needs and resources to recommend/coordinate plans.
• Develops long-term care plans and identifies providers and resources.
• Coordinates between member/family and care providers to ensure services are accessible.
• Provides education to members and families on procedures, options, and benefits.
• Monitors plans, member status, and outcomes; provides recommendations.
• Performs on-site visits and liaises with providers.

Skills

Case management

Advocacy

Home visit

Education

Bachelor's degree

RN licensed in Illinois

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 combines remote work with approximately 50% local travel for in-home member visits and assists individuals receiving Long-Term Services and Supports (LTSS) through the Illinois Health Plan, primarily serving members with Physical Disability and Aging waiver. Candidates with case management, advocacy, or home visit experience are strongly preferred. Applicants should reside within 30 miles of Alton/Wood River (Madison County, IL). Training schedule is Monday-Friday, 8:00 AM-5:00 PM CT; regular schedule is Monday-Friday, 8:00 AM-4:30 PM CT.

• 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:

1. 1. RN licensed in Illinois.
2. 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, H…
3. 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