Remote & Field LTSS Care Coordinator

Meridian of Illinois; Illinois; Hybrid; USD 32,000 - 53,000; Full time

Job summary

Centene in Illinois is seeking a Case Manager to assist in developing and coordinating holistic care management for members, with approximately 50% travel to DuPage, Kane, Kendall, and Will Counties. The remaining time is spent working remotely.

The role requires a Bachelor's degree and 1 year of related experience, with previous case management experience preferred. Centene offers comprehensive benefits and a flexible schedule, including remote, hybrid, field, or office work options.

Qualifications

• Requires a Bachelor's degree and 1 year of related experience or equivalent experience.
• For Illinois Plan: RN licensed in Illinois.
• Bachelor or Master’s in human services related field.
• LPN with one year experience acceptable.

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

Skills

Case Management

Travel

Education

Bachelor's degree

RN licensed in Illinois

Bachelor or Master’s in human services related field

LPN with one year experience

Job description

Centene in Illinois is seeking a Case Manager to assist in developing and coordinating holistic care management for members, with approximately 50% travel to DuPage, Kane, Kendall, and Will Counties. The remaining time is spent working remotely.

The role requires a Bachelor's degree and 1 year of related experience, with previous case management experience preferred. Centene offers comprehensive benefits and a flexible schedule, including remote, hybrid, field, or office work options.