Senior Long Term Support Services Care Specialist-Remote/Field based (North Chicago and Evanston)
Company: Meridian Illinois
Posted on: November 19, 2021
You could be the one who changes everything for our 25 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, multi-national organization,
you 'll have access to competitive benefits including a fresh
perspective on workplace flexibility.
Position Purpose : Oversees the care for long term support services
/ long term care populations and provides coordination of care
services for lower acuity individuals living in the community or
nursing facilities. Ensures a comprehensive assessment of member's
care needs and status, interdisciplinary team approach, and
education of members. Works closely with internal and external
partners to achieve optimal health care outcomes for the member
through effective coordination of care activities. This role also
acts as a SME for the department in representing management in
meetings, training new staff, integrating new case management
initiatives in conjunction with management and establishes and
revises better best practice within the department.
Coordination and care management of members with lower utilization
of home community services (i.e. members attending adult day care
services or those who are stable on current medication / treatment
Manages an active caseload based on state mandated ratios according
to residential setting, case intensity and acuity.
Ensures comprehensive assessments are completed within required
time frames and utilizes knowledge and expertise to assess options
for care including use of benefits and community resources.
Partners effectively with the PCP, Specialist, member, member 's
family and integrated care teams (ICT) to develop a Person Centered
In partnership with the member, family, physician(s), ICT and other
providers, assesses short and long term member needs, evaluates the
need for alternative services and establishes member driven care
Responsible for coordination of service authorizations (i.e. meals,
transportation, activities of daily living).
Educates on and coordinates community resources with emphasis on
medical, behavioral and social services. Applies care management
standards and maintains HIPAA standards and confidentiality of
protected health information.
Ensures compliance with all state and federal regulations and
guidelines in day-to-day activities.
Assists with implementation of new and expanding healthcare case
Assists in implementation of market specific strategies that
improve on the quality and outcomes of member's care.
Represents supervisors and management in meetings or on special
Helps establish process improvements leading to best practice and
assist in implementing change movement.
Trains, mentors and provides guidance to new and current Field
Service Coordinators regarding policy and procedure, systemic
tools, workload and care plan development.
Performs special projects as assigned.Additional
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work
schedules and dress flexibility
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and
Education : Bachelor's degree in social work, sociology,
psychology, gerontology, or other related social services field and
4+ years of relevant experience OR Master's degree in social work,
sociology, psychology, gerontology, or a related social services
field, 2+ years of experience obtained through a practicum,
internship, or clinical rotation on an equivalent basis and 2+
years of relevant experience OR Equivalent experience of 8+ years.
(Florida LTC and Illinois LTSS)
**This position is primarily remote, some office attendance
required (i.e. staff meetings) and field based that will required
home visits once it is safe to do so therefore; candidates must be
located in or near North Chicago and Evanston areas"
If RN, 2 years of experience is required
Licenses and Certifications: LSW, LPC, LCSW, LCPC, RN -required
Certified Case Manager (CCM), other Licensed Behavioral
Professional i.e. RN, LPN, LCSW, LMHC, LMFT, LPC, LMST
Centene is an equal opportunity employer that is committed to
diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, veteran status, or
other characteristic protected by applicable law.
Keywords: Meridian Illinois, Evanston , Senior Long Term Support Services Care Specialist-Remote/Field based (North Chicago and Evanston), Other , Evanston, Illinois
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