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.
  • LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly.

Qualifications

• Department: Care Coordination LTSS (long term support service)
• Caseload: Physical Disability & Aging Waiver Members
• Schedule: Monday through Friday, 8-4:30 pm CT

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 interact with long-term care healthcare providers and partners as appropriate to ensure member needs are met.
• 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 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 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.

Pay

$22.94 - $38.79 per hour

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

Centene Values

• Equal Opportunity Employer
• Diversity