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.

Responsibilities

• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
• Affords assistance 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
• 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
• 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
• Captures, 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:
• 1. RN licensed in Illinois
• 2. Bachelor or Master’s Degree prepared in human services related field
• 3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly

Qualifications

Education/Experience: 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

N/A

Benefits

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. 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 may be subject to program eligibility.

Pay

N/A

Schedule

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