LTSS Service Care Coordinator

RemoteWorker US; Hannibal (MO); Remote; USD 10,000 - 60,000; Full time

Job summary

RemoteWorker US is seeking an LTSS Service Care Coordinator to assist in developing and coordinating care plans for the elderly and physically disabled Medicaid LTSS population. This remote position requires evaluating member needs, coordinating care, and facilitating access to services while ensuring compliance with regulations. The successful candidate will have a relevant degree or licenses, excellent communication skills, and a passion for helping others.

Benefits

Comprehensive benefits package

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work options

Qualifications

• Requires a Bachelor's degree and 1-year related experience.
• Candidate must meet one of the 3 criteria (RN, Bachelor's/Master's in human services, LPN).

Responsibilities

• Assists in developing holistic care management activities.
• Monitors care plans and member status, providing recommendations.
• Facilitates the plan for the best outcome for members.

Skills

Care Coordination

Communication

Assessment Skills

Relationship Building

Education

Bachelor's degree in human services or related field

RN license in Illinois

LPN with one year experience

Job description

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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

THIS ROLE IS REMOTE/WORK FROM HOME. APPLICANTS SHOULD RESIDE IN THE GLENVIEW AREA OF COOK COUNTY ILLINOIS.

THE ROLE WILL TRAVEL TO VISIT MEMBERS 50% OF THE TIME, SUPPORTS THE ELDERLY/PHYSICALLY DISABLED MEDICAID LTSS POPULATION.

WORK SCHEDULE WILL BE MONDAY - FRIDAY 8AM - 4:30PM

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.

1. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
2. Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialists, and/or community resources needed for long-term care
3. Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
4. 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
5. Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
6. Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
7. 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
8. May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate
9. 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
10. 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
11. Performs other duties as assigned
12. 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.

Physically Disabled/Elderly

Candidate Must Meet One Of The 3 Following Criteria:

• RN licensed in Illinois.
• Bachelor or Master’s Degree in a human services related field such 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 services for the elderly.

Pay Range: $22.50 - $38.02 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work options (remote, hybrid, field, or office schedules). Actual pay will be based on skills, experience, education, and other factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Other

Industries

• Staffing and Recruiting