LTSS Service Care Coordinator STAR Kids

Superior HealthPlan; Texas; Hybrid; USD 32,000 - 53,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Job summary

Centene's Superior Health Plan is seeking a Care Management Associate to help develop and coordinate holistic care for members with chronic conditions. The role supports education for members and families about available services and benefits, and helps design personalized service plans to meet diverse needs.

Candidates must bring direct experience with disabilities or vulnerable populations, a Bachelor's degree, and the ability to work Monday–Friday with occasional in-person sessions in Texas;

Qualifications

• Requires a Bachelor's degree and 1 year of related experience in care management or equivalent.
• Direct experience with individuals who have disabilities or vulnerable populations is required.

Responsibilities

• Assists in developing and coordinating care plans for long-term care members.
• Evaluates member needs and recommends care plans with providers.
• Coordinates between members, families, and care teams to ensure access.
• Provides resources and education on services and benefits to members and families.
• Monitors care plans and outcomes, and suggests improvements.
• Supports compliance with state, federal, and payer regulations.

Skills

Disability experience

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

Candidates must have 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.

The work Schedule: Monday–Friday, 8:00 AM–6:00 PM CST.

Note: Texas residence is required due to occasional IN-PERSON performance improvement training or staff meet-up sessions, which are occasionally held at the Centene/Superior Health Plan Talent Hub offices.

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 Superior Health Plan: REQUIRED - 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.

Pay Range

$22.94 - $38.79 per hour

Company Culture

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