LTSS Service Care Coordinator - Illinois Staffing : Job Details

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. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

This position is remote/work from home with 50% travel in the Skokie, IL area supporting Medicaid non-waiver nursing facility members. Mileage is reimbursed at the current IRS guideline rate round trip. The work schedule is Monday - Friday 8am - 4:30pm, with no holiday work, no on-call work or weekend work schedule.

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 include:

• Evaluating the needs of the member, the resources available, and recommending the best outcome plan.
• Assisting with developing ongoing long-term care plans/service plans and identifying providers, specialists, and community resources needed.
• Coordinating between the member and/or family/caregivers and the care provider team to ensure identified services are accessible.
• Providing resource support to members and their families/caregivers for various needs.
• Monitoring care plans/service plans, member status, and outcomes, and providing recommendations based on identified member needs.
• Interacting with long-term care healthcare providers and partners to ensure member needs are met.
• Collecting, documenting, and maintaining long-term care member information and care management activities to ensure compliance with regulators.
• Performing on-site visits to assess member's needs and collaborating with providers or resources.
• Providing and/or facilitating education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
• Providing 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.
• Performing other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Requires a Bachelor's degree and 1 year of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the level of this position.

Pay Range: $22.50 - $38.02 per hour. 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. 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.