LTSS Service Care Coordinator

Meridian of Illinois; Springfield (IL); Hybrid; USD 52,000 - 76,000; Full time

Job summary

Centene seeks a Care Manager to assist in developing, assessing, and coordinating holistic LTSS care for Illinois members. You will educate members and families on services and benefits and help create personalized service plans for long-term care needs.

The role blends remote work with roughly 50% local travel for in-home visits, serving members with Physical Disability and Aging waivers. Training Monday–Friday CT; strong preferences for case management and advocacy experience.

Qualifications

• Requires a Bachelor's degree and 1 year of related experience.
• RN licensed in Illinois is preferred.
• Bachelor or Master’s Degree prepared in human services related field or LPN with relevant experience.

Responsibilities

• Evaluate member needs and resources to recommend and/or facilitate the care plan.
• Develop and coordinate long-term care plans and identify providers and resources.
• Coordinate between member/family and care provider team to ensure services are accessible.
• Provide education on procedures, healthcare options, and benefits to members and families.
• Monitor care plans and outcomes and adjust as needed.
• Ensure compliance with policies and standards.

Skills

Case management

Advocacy

Home visits

Education

RN licensed in Illinois

Bachelor or Master’s Degree in Human Services

LPN with 1 year 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 Jersey, Macoupin, Montgomery, Sangamon, Morgan, Cass, Menard, Logan, and Mason County, IL (nearby cities include: Ashland, Jerseyville, Lincoln, Carlinville, Havana, Petersburg, Hillsboro, Jacksonville and Springfield).

Training schedule is Monday-Friday, 8:00 AM-5:00 PM CT; regular schedule is Monday-Friday, 8:00 AM-4:30 PM CT.

Responsibilities

• 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

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

About us

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.

Benefits

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.

Equal Opportunity

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.