LTSS Service Care Coordinator

Meridian of Illinois; Naperville (IL); Vor Ort; USD 32.000 - 53.000; Vollzeit

Zusammenfassung

Centene in Illinois is seeking a Healthcare Case Manager to assist in developing and coordinating holistic care management for long-term care members. You will evaluate needs, identify resources, and help design care plans that meet member goals while educating families about available services and benefits.

The role involves travel within designated ZIP codes, collaboration with care providers, and ongoing monitoring of plans to ensure quality outcomes.

Qualifikationen

• Bachelor's degree and 1 year of related experience or equivalent experience.
• Experience in case management and coordinating long-term care services.
• Familiarity with waiver populations and community resources.
• Ability to educate members and families about services and benefits.

Aufgaben

• Evaluate member needs, resources, and develop care plans.
• Coordinate between members, families, and care providers to access services.
• Provide resource support for employment, housing, independence, and related needs.
• Monitor care plans and outcomes; communicate recommendations.
• Perform on-site visits as needed and educate members on options.
• Maintain member information for compliance.

Kenntnisse

Case management

Coordinating services

Waiver populations

Educating members/families

Ausbildung

RN licensed in Illinois

Bachelor or Master's in human services related field

LPN with 1 year assessments experience

Jobbeschreibung

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 requires up to 75% local travel throughout Aurora, Naperville, Bolingbrook, and Warrenville. Candidates must reside within the designated ZIP codes for the assigned service area. The ideal candidate will have experience in case management and supporting waiver populations, including coordinating services and resources for members in the community.

• 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:

• RN licensed in Illinois.
• 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.
• LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly

Brain Injury/HIV/AIDS

Candidate Must Meet One Of The 3 Following Criteria

• A Registered Nurse (RN) licensed in Illinois and a bachelor’s degree in nursing, social work, social sciences or counseling or four (4) years of case management experience
• Certified or Licensed social worker with Bachelor’s degree in either social work, social sciences or counseling or a Masters of social work
• Unlicensed social worker: minimum of bachelor’s degree in social work, social sciences, or counseling

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