LTSS Service Care Coordinator
About the role
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.
This role serves community-based members with aging and physical disability waivers. It is a hybrid-remote role with 75% travel into member homes. Preference will be given to applicants with past case management, advocacy or home visits/community travel experience who reside within 30-40 minutes of Des Plaines, Illinois (some nearby cities include: Skokie, Niles, or Morton Grove).
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
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-