LTSS Service Care Coordinator

Position Purpose

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, 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.

Supports 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.

Maintains 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.

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.

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

• 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.

Skills

• Ability to evaluate member needs and recommend solutions.
• Knowledge of long-term care resources and providers.
• Strong communication and interpersonal skills.
• Ability to facilitate and coordinate care plans.
• Proficiency in collecting and maintaining member information.
• Experience with on-site visits and collaboration with providers.
• Ability to provide educational support to members and caregivers.
• Strong problem-solving and critical thinking skills.

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

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.

Schedule

Monday-Friday, 8am-4:30pm (half hour lunch)