LTSS Service Care Coordinator

Centene Corp.; Illinois; Remote; USD 32,000 - 53,000; Full time

Job summary

Centene Corp. is seeking a LTSS Service Care Coordinator to support remote Illinois members, with 50-75% local travel within specified counties. The role focuses on holistic care management, patient/family education, and care coordination with providers to enable quality, cost-effective outcomes.

Requires a Bachelor's degree and 1 year of related experience, or Illinois RN/LPN-holders or human services degrees per the IL plan criteria. Travel and regulatory compliance are key aspects of the role.

Qualifications

• Bachelor's degree and 1 year related experience or equivalent.
• For Illinois plan: RN Illinois license or Bachelor/Master’s in human services.
• One of the IL criteria must be met for eligibility.

Responsibilities

• Evaluates member needs, resources, and recommends the best care plan.
• Develops ongoing long-term care/service plans and identifies providers and resources.
• Coordinates between member/family/caregivers and care provider team.
• Provides resource support for employment, housing, independent living, and other needs.
• Monitors plans, member status, and outcomes; offers recommendations.
• Interacts with healthcare providers and partners to meet needs.
• Collects and maintains member information to ensure regulatory compliance.
• May perform on-site visits and provide education to members and families.
• Provides leadership with feedback to improve quality and cost-effectiveness.

Skills

Care coordination

Case management

Education and coaching

Education

Bachelor's degree (any field) or related experience

RN licensed in Illinois

LPN with 1 year experience

Job description

## LTSS Service Care CoordinatorApply: Remote-IL: Full time: Posted Today: 1669430**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 role requires 50-75% local travel within McLean, Livingston, Iroquois, Vermilion, Champaign, DeWitt, and Piatt counties, with the remainder of the work performed remotely from home. Candidates must reside within one of these counties. Strong preference will be given to candidates with HCBS waiver, case management, and care coordination experience.* 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