LTSS Service Care Coordinator - Foster Care

Centene; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Centene is looking for a dedicated professional to coordinate holistic care management for individuals with serious health needs. This role includes developing personalized service plans and interacting closely with members and families, ensuring the best healthcare outcomes while adhering to compliance standards. The successful candidate will work from various Texas locations, fostering community health and support.

Benefits

Competitive health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 1 year of related experience or equivalent experience.
• Experience working with individuals who have disabilities or vulnerable populations.
• Experience in Child and Family Services, Child Development, or similar.

Responsibilities

• Evaluate member needs and resources to facilitate care plans.
• Coordinate long-term care plan execution and identify necessary resources.
• Educate members and families about available services and benefits.

Skills

Adaptability

Flexibility

Resiliency

Professional phone etiquette

Proficient computer skills

Education

Bachelor's degree

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

THIS IS NOT REMOTE - Applicants must reside in one of the following Texas locations: Austin, Dallas, Corpus Christi, Houston, McAllen, or San Antonio, TX.

Up to 25% travel to meet with Foster Care members in-home visits.

Work From Home: Monday-Friday 8:00 am- 5:00 pm (CST)

Requirement - Direct experience working with individuals who have disabilities and/or with vulnerable populations who have chronic or complex conditions, including children and young adults within three of the last five years.

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.

• 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.

Strongly Preferred Experience:

3 - 5 years of verifiable employment in any of the following Human and Social Services work settings: Child and Family Services, Early Child Development, Child or Adolescent Guidance and Counseling, Prekindergarten - 12 Education, Child/Adolescent Rehabilitation Counseling services, Pediatric Clinics or Hospitals, or Pediatric Home Health

Experience conducting comprehensive assessments and provision of formal healthcare/behavioral services with children, adolescents, or young adults (0 - 21) under Medicaid - STAR Health, CHIP, STAR Kids, or Foster Care or CPS recipients.

Experience working in Call Center Operations environments and managing high volume caseloads

Role requires strong adaptability, flexibility, and resiliency skills.

Professional business phone etiquette skills and proficient computer skills and experience working within large databases or provider information systems and Microsoft Office applications.

Experience working in managed care environment is a plus (Federal and State Sponsored Govt Programs), but not required

NOTE: Texas Department of Family & Protective Services (DFPS) background check is required

Superior Health Plan Only: Direct experience working with individuals who have disabilities and/or with vulnerable populations who have chronic or complex conditions, including children and young adults within three of the last five years. Other state specific requirements may apply. required.

Pay Range: $22.50 - $38.02 per hour

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

THIS IS NOT REMOTE - Applicants must reside in one of the following Texas locations: Austin, Dallas, Corpus Christi, Houston, McAllen, or San Antonio, TX.

Up to 25% travel to meet with Foster Care members in-home visits.

Work From Home: Monday-Friday 8:00 am- 5:00 pm (CST)

Requirement - Direct experience working with individuals who have disabilities and/or with vulnerable populations who have chronic or complex conditions, including children and young adults within three of the last five years.

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.

• 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.

Strongly Preferred Experience:

• 3 - 5 years of verifiable employment in any of the following Human and Social Services work settings: Child and Family Services, Early Child Development, Child or Adolescent Guidance and Counseling, Prekindergarten - 12 Education, Child/Adolescent Rehabilitation Counseling services, Pediatric Clinics or Hospitals, or Pediatric Home Health

• Experience conducting comprehensive assessments and provision of formal healthcare/behavioral services with children, adolescents, or young adults (0 - 21) under Medicaid - STAR Health, CHIP, STAR Kids, or Foster Care or CPS recipients.

• Experience working in Call Center Operations environments and managing high volume caseloads

• Role requires strong adaptability, flexibility, and resiliency skills.

• Professional business phone etiquette skills and proficient computer skills and experience working within large databases or provider information systems and Microsoft Office applications.

• Experience working in managed care environment is a plus (Federal and State Sponsored Govt Programs), but not required

NOTE: Texas Department of Family & Protective Services (DFPS) background check is required

Superior Health Plan Only: Direct experience working with individuals who have disabilities and/or with vulnerable populations who have chronic or complex conditions, including children and young adults within three of the last five years. Other state specific requirements may apply. required.

Pay Range: $22.50 - $38.02 per hour

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

About the company

Centene Corporation is a publicly traded managed care company based in St.

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at [e-mail] or 407-000-0000.

Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.

An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report . NYC applicants may request an alternative process or accommodation at [e-mail] or 407-000-0000.