Healthcare Case

1 week ago

Hull IL, United States Meridian Illinois Full time

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Our Illinois Market is currently hiring a Long-Term Care Coordinator I in Illinois. This position is a hybrid position and will go out into the community completing home visits with members on the Aging, Disability, TBI or HIV Waiver program.
Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development, assessment, and care coordination.
~ Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development

~ Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care

~ Assist in coordinating the development of informal or voluntary services to integrate into the member care plan

~ Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services

Assist member with filing and resolving complaints and appeals
Complies with all policies and standards

Education/Experience: Bachelor’s degree or Registered Nurse License and 2+ years of care management experience, Licensed Practical Nurse and 4+ years of care management experience, or 6+ years of care management experience. Home health, discharge planning, or long term care experience preferred.
Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: 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.
~Brain Injury/HIV/AIDS:
A Registered Nurse (RN) licensed in Illinois and a bachelor’s degree in nursing, social work, social sciences or counseling or four (4) years of case management experience
~Certified or Licensed social worker with Bachelor’s degree in either social work, social sciences or counseling or a Masters of social work
~Unlicensed social worker: minimum of bachelor’s degree in social work, social sciences, or counseling


07 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. 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.

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