LTSS Service Care Coordinator

Centene; Iowa (LA); Remote; USD 32,000 - 54,000; Full time

Job summary

Centene is hiring for a remote Care Management role focused on developing, assessing, and coordinating holistic care management activities for long-term care members. You will educate members and families on benefits, coordinate with providers, and monitor plans to ensure quality outcomes.

The position requires a Bachelor's degree and at least 1 year of related experience, with the Iowa Plan noting an RN option with broader experience.

Qualifications

• Requires a Bachelor's degree and 1 year of related experience.
• Iowa Plan Only: Bachelor's degree and 1+ years of experience with populations served, or RN with 6+ years of experience with population served.

Responsibilities

• Evaluate the member's needs, resources, and coordinate the plan for the best outcome.
• Assist in developing long-term care plans and identify providers or community resources.
• Coordinate between member/family and care provider team to ensure services are accessible.
• Provide resource support on employment, housing, independent living, and related areas.
• Monitor plans and outcomes and adjust recommendations as needed.
• Interact with long-term care providers to ensure member needs are met.
• Document and maintain member information for regulatory compliance.
• May perform on-site visits to assess needs and collaborate with providers.
• Educate members and families on procedures, service options, referrals, and benefits.
• Provide feedback to leadership for quality improvements and cost-effectiveness.

Education

Bachelor's degree

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: Remote, Monday - Friday 8AM to 5PM CST. Bachelor's degree required and 1+ years of experience with populations served required.

• 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 Iowa Plan Only: Bachelor's degree required and 1+ years of experience with populations served, or RN with 6+ years of experience with population served.

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