LTSS Service Care Coordinator at Centene

**Who this is for** This role is for a dedicated care coordinator or human services professional who is passionate about supporting long-term care members, incl

Work type: remote

Location: Remote-IL | Moline-Illinois(61265)

Salary: $23 – $39/hr

Type: Full-time

Summary

**Who this is for** This role is for a dedicated care coordinator or human services professional who is passionate about supporting long-term care members, including the aging and physically disabled population, within the community. **Key highlights** You will perform field-based assessments, develop holistic long-term care service plans, and serve as a vital liaison between members, their families, and the clinical providers necessary to meet their daily living needs. **You might be a good fit if you...** - Have a Bachelor’s degree in a human services field or an active RN/LPN license in Illinois. - Are comfortable with significant regional travel (50–75%) to conduct on-site member assessments. - Possess strong organizational skills for maintaining documentation compliant with state and federal regulations. - Are compassionate and skilled at educating members and families on healthcare benefits and community resources.

Job Description

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 ROLE IS WORK FROM HOME WITH 50 – 75% TRAVEL WITHIN THE ILLINOIS COUNTIES OF: Jo Daviess, Carroll, Whiteside, Rock Island, Mercer, Henry and Bureau; MAINLY QUAD CITIES AREA. SUPPORTS THE MEDICAID LTSS WAIVER MEMBERS AGING AND PHYSICALLY DISABLED; APPROXIMATELY 90% IN THE COMMUNITY AND 10% IN SUPPORTIVE LIVING SETTINGS.APPLICANTS MUST HAVE A BACHELOR’S DEGREE OR RN OR LPN LICENSURE IN ILLINOIS AS LISTED BELOW IN THE EDUCATION AND EXPERIENCE.WORK SCHEDULE IS MONDAY – FRIDAY, 8AM – 5PM CENTRAL TIME ZONE.MILEAGE IS REIMBURSED ROUND TRIP AT THE CURRENT IRS GUIDELINE RATE.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.

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, 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

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

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.

For Illinois Plan Only: In addition to the requirements above the employee working onPhysically 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. 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.
3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly

Pay Range: $22.94 - $38.79 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.

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