Position Overview
Centene is seeking a dedicated LTSS Service Care Coordinator to join our team and help transform the health of our communities. This is a hybrid role, requiring 50% remote work and 50% travel to visit members in Southern Illinois.
Service Area: Jackson, Williamson, Union, Johnson, Pope, Alexander, Pulaski, and Massac counties for the Medicaid MLTSS and Duals Aging and Physically Disabled Program.
Important: Applicants must reside in one of the specified counties. Mileage will be reimbursed at the current IRS guideline rate.
Work Schedule:
- Training: Monday - Friday, 8:00 AM - 5:00 PM
- Post-Training: Monday - Friday, 8:00 AM - 4:30 PM (with a 30-minute lunch break)
Key Responsibilities
This role focuses on developing, assessing, and coordinating holistic care management to achieve quality, cost-effective healthcare outcomes. You will assist in creating personalized service care plans and educate members and their families on available services and benefits.
- Evaluate member needs and available resources to facilitate optimal outcomes.
- Assist in developing long-term care plans and identifying necessary providers and community resources.
- Coordinate between members, families, and care providers to ensure service accessibility.
- Provide resource support for various member needs (e.g., employment, housing, independent living).
- Monitor care plans, member status, and outcomes, making recommendations as needed.
- Liaise with long-term care providers and partners to meet member needs.
- Collect, document, and maintain member information and care management activities in compliance with regulations.
- Conduct on-site visits to assess member needs and collaborate with providers.
- Educate members and families on procedures, service options, referrals, and benefits.
- Provide feedback to leadership on improving care quality and service delivery.
- Perform other assigned duties and comply with all policies.
Qualifications
Required:
- Bachelor's degree and 1 year of related experience.
- OR equivalent experience demonstrating applicable knowledge and skills.
For Illinois Plan Only (Physically Disabled/Elderly): In addition to the above requirements, candidates must meet one of the following:
- RN licensed in Illinois.
- Bachelor's or Master's degree in a human services-related field (e.g., Human Services, Social Work, Psychology, Sociology, Rehabilitation Counseling).
- LPN with 1 year of experience in comprehensive assessments and service provision for the elderly.
Compensation and Benefits
Pay Range: $22.94 - $38.79 per hour
Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements. Actual pay is determined by skills, experience, education, and other job-related factors. Total compensation may include incentives. Benefits are subject to program eligibility.
Equal Opportunity Employer
Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.