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Centene

Runs government-backed health insurance plans

LTSS Service Care Coordinator

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeIowa, USA$22.94 - $38.79 /hr

About the Job

Requirements

  • Requires a bachelor's degree and one year of related experience, or equivalent experience acquired through applicable knowledge, duties, scope, and skill reflective of the position level.
  • For the Iowa plan, requires a bachelor's degree and at least one year of experience with populations served, or an RN with at least six years of experience with the population served.
  • For the Physically Disabled/Elderly population, candidates must meet one of these criteria: be an RN licensed in Illinois; hold a bachelor's or master's degree in a human-services-related field, including 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; or be an LPN with one year of experience conducting comprehensive assessments and providing formal services for the elderly.
  • For the Brain Injury/HIV/AIDS population, candidates must meet one of these criteria: be an RN licensed in Illinois and hold a bachelor's degree in nursing, social work, social sciences, or counseling, or have four years of case management experience; be a certified or licensed social worker with a bachelor's degree in social work, social sciences, or counseling, or a master's degree in social work; or be an unlicensed social worker with at least a bachelor's degree in social work, social sciences, or counseling.
  • In addition to the applicable population-specific criteria, candidates must have experience working with addictive and dysfunctional family systems, racial and ethnic minorities, homosexuals and bisexuals, persons with AIDS, and substance abusers.

Responsibilities

  • Assist in developing, assessing, and coordinating holistic care management activities to support quality, cost-effective healthcare outcomes.
  • Develop or assist with developing personalized service care plans for long-term care members and educate members and their families or caregivers about available services and benefits.
  • Evaluate member needs and available resources, and recommend or facilitate plans to achieve the best outcomes.
  • Assist with developing ongoing long-term care plans, identify needed providers, specialists, and community resources, and coordinate access to those services.
  • Coordinate between members or their families and caregivers and the care provider team to ensure identified services are accessible.
  • Provide resource support for needs such as employment, housing, participant direction, independent living, justice, and foster care based on assessments and service plans.
  • Monitor care plans, member status, and outcomes, and recommend changes based on identified needs.
  • Interact with long-term care healthcare providers and partners to help ensure member needs are met.
  • Collect, document, and maintain member information and care-management activities to comply with current state, federal, and third-party payer regulations.
  • Conduct on-site visits to assess member needs and collaborate with providers or resources as appropriate.
  • Provide or facilitate education on procedures, healthcare-provider instructions, service options, referrals, and healthcare benefits.
  • Provide leadership with feedback on opportunities to improve quality of care and service delivery cost-effectively.
  • Perform other duties as assigned and comply with all policies and standards.

About the Company

Centene

Runs government-backed health insurance plans

Centene runs government-backed health insurance plans in the United States, with Medicaid as its largest business alongside Medicare and Affordable Care Act Marketplace coverage. It is one of the largest Medicaid insurers in the country and also runs plans for people eligible for both Medicare and Medicaid, long-term care and children in foster care. States and the federal government pay Centene a set amount per member to manage care, and individuals buy its Ambetter Marketplace plans, often with federal subsidies. Centene contracts with local doctors, hospitals and pharmacies and keeps the difference between premiums and the cost of care. The company was founded in 1984 in Milwaukee and is headquartered in Clayton, Missouri.

Company size
10,001+
Company stage
IPO
Headquarters
Clayton, MO
Founded
1984

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