LTSS Service Care Coordinator

Position Overview You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. This is a hybrid-remote role with 50% local home visits focusing on Physically Disabled/Elderly waiver services. Preferred location: Service area zip codes 60601, 60602, 60603, 60604, 60605, 60606, 60607, 60608, 60610, 60611, 60612, 60613, 60614, 60618, 60622, 60623, 60624, 60641, 60642, 60647, 60657, 60661, and territory zip codes 60130, 60301, 60302, 60303, 60304, 60402, 60534, 60546. 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 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 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, member status and outcomes, as appropriate, and provides recommendations to care 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 collaborate 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 and complies with all policies and standards. 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 following criteria: RN licensed in Illinois. Bachelor or Master’s degree prepared in a 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- Child and Family Services, Human Development Counseling, Human Service Administration, Human Services, Master of Divinity, Pastoral Care, Pastoral Counseling, Psychiatric Nursing, Psychiatry, Psychology, Public Administration, Rehabilitation Counseling, Social Science, Social Services/Social Work or Sociology. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly. Pay & Benefits Pay Range: $22.94 - $38.79 per hour. Competitive pay Health insurance 401(k) and stock purchase plans Tuition reimbursement Paid time off plus holidays Flexible approach to work with remote, hybrid, field or office work schedules EEO Statement Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act. #J-18808-Ljbffr