LTSS Service Care Coordinator

Centene Corp.; Granite City (IL); Hybrid; USD 32,000 - 53,000; Full time

Job summary

Centene Corp. is seeking a LTSS Care Manager to assist in developing and coordinating long-term care plans for members, including education for families and caregivers.

The role involves travel to member homes and coordinating with healthcare providers to ensure timely access to services. The ideal candidate has case management experience, strong advocacy skills, and a Bachelor’s degree with relevant licensure (RN IL preferred).

Qualifications

• Requires a Bachelor's degree and 1 year of related experience.
• For Illinois Plan: meet one of three criteria (RN IL license; or Bachelor's/Master’s in human services; or LPN with relevant experience).

Responsibilities

• Evaluates member needs and resources to recommend or facilitate optimal long-term care plans.
• Coordinates between members, families, and care providers to ensure access to services.
• Provides education to members and caregivers on procedures, options, and benefits.
• Documents and maintains LTSS information to ensure regulatory compliance.
• May perform on-site visits to assess needs and collaborate with providers.

Skills

Case management

Advocacy

Home visits

Care coordination

Education

Education

Bachelor's degree in a related field

RN license in Illinois

LPN with relevant 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 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. Preference will be given to applicants who reside within Madison County, IL (nearby cities include: Edwardsville, Collinsville, Troy, Wood River, Bethalto, Alton, Highland). Also open to applicants in St Clair 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. 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 elderlyPay Range: $22.94 - $38.79 per hour