LTSS Service Care Coordinator

About the role

This hybrid-remote position (50% local travel) supports members enrolled in HIV Waiver programs. Responsibilities include conducting in-home assessments, developing and coordinating care plans, and connecting members with healthcare providers, community resources, and durable medical equipment (DME) services. Preference will be given to applicants who reside within 1 hour of these cities in Illinois: Elgin, Hoffman Estates, Lincolnwood, Morton Grove, Niles, Schaumburg, Skokie and Streamwood and have past case management, advocacy or home visits/community travel experience.

Responsibilities

• Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.
• Develops or assists 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.
• 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, 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.
• 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

• Bachelor's degree and 1 year of related experience.
• For Illinois Plan Only: In addition to the requirements above, the employee working on Brain Injury/HIV/AIDS must meet one of the following criteria:
  • A Registered Nurse (RN) licensed in Illinois and a bachelor’s degree in nursing, social work, social sciences or counseling or four (4) years of case management experience.
  • Certified or Licensed social worker with Bachelor’s degree in either social work, social sciences or counseling or a Masters of social work.
  • Unlicensed social worker: minimum of bachelor’s degree in social work, social sciences, or counseling.
• Experience working with:
  • Addictive and dysfunctional family systems
  • Racial and ethnic minorities
  • Homosexuals and bisexuals
  • Persons with AIDS
  • Substance abusers

Schedule

Monday through Friday, 8:00 AM – 4:30 PM CT with a 30-minute lunch.

Pay

Pay Range: $22.94 - $38.79 per hour. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules

Benefits may be subject to program eligibility.