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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-time$22.94 - $38.79 /hr

About the Job

Requirements

  • A bachelor's degree and one year of related experience are required.
  • For the Illinois plan serving physically disabled/elderly members, candidates must meet one of these criteria: hold an Illinois RN license; have a bachelor's or master's degree in a human-services-related field as defined in the posting; or hold an LPN license and have one year of experience conducting comprehensive assessments and providing formal services for the elderly.

Responsibilities

  • Evaluate member needs and available resources, then 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/caregivers and care-provider teams to ensure identified services are accessible.
  • Provide members and families/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 plan updates based on identified member needs.
  • Interact with long-term care healthcare providers and partners to ensure member needs are met.
  • Collect, document, and maintain long-term care member information and care-management activities to comply with current state, federal, and third-party-payer regulations.
  • Perform on-site visits to assess member needs and collaborate with providers or resources as appropriate.
  • Provide or facilitate education for long-term care members and their families/caregivers on procedures, healthcare-provider instructions, service options, referrals, and healthcare benefits.
  • Provide leadership with feedback on opportunities to improve and enhance quality of care and service delivery cost-effectively.
  • Perform other duties as assigned.
  • Comply with all policies and standards.

Desired Qualifications

  • Preference is given to applicants with prior case-management, advocacy, or home-visit/community-travel experience who reside within 25 minutes of Huntley, Illinois.

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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