LTSS Service Care Coordinator

Centene Management Company LLC; West Des Moines (IA); Hybrid; USD 65,732,000 - 111,149,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements

Job summary

Centene Management Company LLC is seeking a care management associate to develop, assess, and coordinate holistic care plans for long-term care members. In Polk County, IA this hybrid role requires in-person visits four days a week, with remote work flexibility when not conducting field visits.

You will evaluate needs, identify providers, educate members and families about services, monitor progress, and ensure compliance with state, federal, and payer requirements.

Qualifications

• Requires a Bachelor's degree and 1 year of related experience.
• Or equivalent experience reflecting 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.

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 identifies providers, specialists, and/or community resources.
• Coordinates between the member/family/caregivers and the care provider team to ensure identified services are accessible.
• Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living).
• Monitors care plans/service plans, member status and outcomes, and provides recommendations based on identified needs.
• Interacts with long-term care healthcare providers and partners to ensure member needs are met.
• Maintains long-term care member information and care management activities for compliance with regulations.
• May perform on-site visits to assess member needs and collaborate with providers or resources.
• Provides and/or facilitates education to long-term care members and families/caregivers on procedures and benefits.
• Provides feedback to leadership on opportunities to improve quality and delivery of care in a cost-effective manner.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education

Bachelor's degree

RN with 6+ years 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: Polk County, IA Hybrid role requiring in-person member visits 4 days per week throughout Polk County. Work directly with members in their homes and community settings, with remote work flexibility when not conducting field visits.

Key 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. 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 — 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
• 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.

Centene is committed to helping people live healthier lives.

We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.