LTSS Service Care Coordinator
Health Net Health Plan of Oregon, Inc. · Park Ridge, IL · 1 wk ago
OTHR$22.94–$38.79/hrFull-time
About the role
This role focuses on assisting in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. It involves creating or assisting with the creation of personalized service care plans for long-term care members and educating them and their families/caregivers on services and benefits available to meet their needs.
Responsibilities
- Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
- Aids in developing ongoing long-term care plans/service plans and works to identify providers, specialists, 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
- Supports members and their families/caregivers for various needs such as employment, housing, participant direction, independent living, justice, foster care
- Maintains care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
- Collaborates 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
- Performs 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
Requirements
- Requires a Bachelor's degree and 1 year of related experience
- For Illinois Plan Only: In addition to the requirements above, the employee must meet one of the 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
Qualifications
- Must be located in one of the specified zip codes: 60682, 60104, 60163, 60402, 60153, 60155, 60513, 60155, 60513, 60631, 60634, 60639, 60644, 60651, 60656, 60701, 60706, 60707, 60804, 60525, 60130, 60131, 60162, 60141, 60526, 60534, 60160, 60161, 60164, 60165, 60546, 60301, 60302, 60304, 60068, 60305, 60171, 60176, 60154, 60558
Skills
- Strong communication and interpersonal skills
- Ability to work independently and as part of a team
- Knowledge of long-term care services and regulations
- Proficiency in Microsoft Office Suite
Benefits
- 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
Pay
$22.94 - $38.79 per hour
Schedule
Monday-Friday, 8am-4:30pm (half hour lunch)