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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-timeDes Moines, IA, USA$22.94 - $38.79 /hr

About the Job

Requirements

  • A bachelor's degree and one year of related experience, or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the position level.
  • For the Iowa plan, a bachelor's degree and at least one year of experience with the populations served, or registered nurse (RN) status with at least six years of experience with the populations served.

Responsibilities

  • Evaluate member needs and available resources, and recommend or facilitate plans for the best outcomes.
  • Assist in developing ongoing long-term care plans or service plans and identify providers, specialists, and community resources needed for long-term care.
  • Coordinate between members or their families and caregivers and the care provider team to ensure identified services are accessible.
  • Provide members and their families or caregivers with resource support for needs such as employment, housing, participant direction, independent living, justice, and foster care, based on service assessments and plans.
  • Monitor care plans or service plans, member status, and outcomes, and recommend updates based on identified member needs.
  • Interact with long-term care healthcare providers and partners to help ensure member needs are met.
  • Collect, document, and maintain long-term care member information and care management activities to ensure compliance 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 for members and their families or caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
  • Provide feedback to leadership on opportunities to improve quality of care and service delivery for long-term care members in a cost-effective manner.
  • Perform other assigned duties and comply with applicable 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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