LTSS Service Care Coordinator

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.

Requirements

• Requires a Bachelor's degree and 1 year of related experience.
• For Illinois Plan Only: In addition to the requirements above the employee working on Physically Disabled/Elderly Candidate Must Meet One Of The 3 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

• Preference will be given to applicants with waiver, case management, advocacy or home visits/community travel experience who reside in the following northwestern Illinois Counties: Fulton, Knox, Marshall, Peoria, Stark, Tazewell, Woodford. Peoria County is IL highly preferred.

Skills

• Ability to develop or assist with developing personalized service care plans/service plans for long-term care members.
• Knowledge of services and benefits available to meet member needs.
• Ability to evaluate the needs of the member, the resources available, and recommend and/or facilitate the plan for the best outcome.
• Ability to coordinate as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members.
• Ability to provide and/or facilitate education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
• Ability to collect, document, and maintain long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
• Ability to perform on-site visits to assess member's needs and collaborate with providers or resources, as appropriate.
• Ability to interact with long-term care healthcare providers and partners as appropriate to ensure member needs are met.
• Ability to monitor care plans/service plans, member status and outcomes, as appropriate, and provide recommendations to care plan/service plan based on identified member needs.
• Ability to provide 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.
• Ability to comply with all policies and standards.

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 Range

$22.94 - $38.79 per hour

Schedule

Monday through Friday, 8-5 pm CT with hour lunch