LTSS Care Navigator
4 weeks ago
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility.
****NOTE: This is a hybrid-remote role with 50% travel into member homes near the Hoffman Estates & Schaumburg area of Cook County, Illinois. We are seeking applicants who reside within 30 minutes of this area. ****
**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
+ Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
+ Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
+ Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
+ Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
+ Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
+ Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
+ Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
+ May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate
+ Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
+ Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Requires a Bachelor's degree and 1 year of related experience.
**Physically Disabled/Elderly**
Candidate must meet one of the 3 following criteria:
1. RN licensed in Illinois.
2. Bachelor or Masters Degree prepared in human services related field. Bachelors 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.
3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly
*****Additional Details:**
Department: Long Term Care // MED-Case Management
Caseload: Elderly and Physical Disability waiver members over 18 years old
Territory: Near the Hoffman Estates & Schaumburg area of Cook County, Illinois. Remote work-from-home case management role with local home visits. Must reside in or be willing to relocate to the above mentioned area.****
Pay Range: $22.07 - $37.25 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.
-
LTSS Service Coordinator-Clinician
3 days ago
Springfield, United States Elevance Health Full timeAnticipated End Date: 2024-12-31 Position Title: LTSS Service Coordinator-Clinician Job Description: Location: This is a field position and the candidate should reside in Loudon, Fairfax, or Prince William Counties VA. The LTSS Service Coordinator - Clinician working under the direction/supervision of an RN, with overall responsibility for the member's case,...
-
LTSS Service Coordinator-Clinician
5 days ago
Springfield, United States Elevance Health Full timeAnticipated End Date:2024-12-31Position Title:LTSS Service Coordinator-ClinicianJob Description:Location: This is a field position and the candidate should reside in Loudon, Fairfax, or Prince William Counties VA.The LTSS Service Coordinator - Clinician working under the direction/supervision of an RN, with overall responsibility for the member's case, as...
-
Springfield, Virginia, United States Elevance Health Full timeAbout the RoleWe are seeking a highly skilled LTSS Service Coordinator-Clinician to join our team at Elevance Health. As a key member of our healthcare team, you will play a critical role in coordinating care for our members with complex needs.Key ResponsibilitiesIdentify High-Risk Members: Utilize your clinical expertise to identify members who are at risk...
-
Patient Care Navigator
2 weeks ago
Springfield, Massachusetts, United States Commonwealth Care Alliance Full timeImportance of This Role:The Care Coordinator plays a crucial role in the care management team, directly engaging with assigned members to facilitate their navigation through the healthcare landscape. This position ensures that members are well-informed about accessing services and addresses their inquiries regarding necessary care. The Care Coordinator...
-
Patient Care Navigator
2 weeks ago
Springfield, Massachusetts, United States Commonwealth Care Alliance Full timeImportance of This Role: The Care Coordinator plays a crucial role in the care management team, working closely with assigned members to help them effectively navigate the healthcare landscape. This position ensures that members are informed about available services and addresses their inquiries regarding accessing necessary care. The Care Coordinator...
-
Patient Care Navigator
2 weeks ago
Springfield, Massachusetts, United States Commonwealth Care Alliance Full timeImportance of This Role: The Care Coordinator plays a vital role in the care management team, directly assisting assigned members in navigating the healthcare landscape. This position ensures that members are informed about available services and addresses their inquiries regarding accessing necessary care. The Care Coordinator engages with members through...
-
Oncology Care Navigator
2 weeks ago
Springfield, Illinois, United States CoxHealth Full timePosition OverviewThe Oncology Patient Support Advocate plays a crucial role in the healthcare journey of oncology patients. This position involves a comprehensive evaluation of patients' psychosocial, financial, logistical, educational, and informational requirements.Key ResponsibilitiesConduct ongoing assessments to identify the unique needs of oncology...
-
Oncology Care Navigator
2 weeks ago
Springfield, Illinois, United States CoxHealth Full timePosition OverviewThe Oncology Patient Support Advocate plays a crucial role in the healthcare journey of oncology patients. This position involves a comprehensive evaluation of patients' psychosocial, financial, logistical, educational, and informational requirements.Key ResponsibilitiesConduct ongoing assessments to identify patient needs.Facilitate access...
-
Care Coordination Specialist
5 days ago
Springfield, Virginia, United States Elevance Health, Inc. Full timeAbout the RoleWe are seeking a skilled LTSS Service Coordinator-Clinician to join our team at Elevance Health, Inc.Key ResponsibilitiesIdentify High-Risk Members: Utilize clinical data and expertise to identify members at risk for complications.Obtain Clinical Data: Gather and verify clinical information to inform care coordination decisions.Alternative Care...
-
Healthcare Consultant II
1 week ago
Springfield, Illinois, United States Integrated Resources, Inc Full timeJob SummaryWe are seeking a skilled Healthcare Consultant II to join our team at Integrated Resources, Inc. in Springfield, IL. As a key member of our healthcare team, you will be responsible for providing care coordination, support, and education to our waiver/LTSS members.Key ResponsibilitiesCare Coordination: Facilitate appropriate healthcare outcomes for...
-
Access Navigator CBHC Outpatient
3 weeks ago
Springfield, United States Behavioral Health Network Full timeIf you are an experienced direct-care provider looking to help improve our community and grow professionally, then keep reading because this is for you!!Join our team of competent and compassionate professionals as a shift Access Navigator in the CBHC at Behavioral Health Network! TheAccess Navigatorhas a unique role in team-based client care. You will...
-
Access Navigator CBHC Springfield
3 weeks ago
Springfield, United States Behavioral Health Network Full timeIf you are an experienced direct-care provider looking to help improve our community and grow professionally, then keep reading because this is for you!!Join our team of competent and compassionate professionals as a shift Access Navigator in the CBHC at Behavioral Health Network! TheAccess Navigatorhas a unique role in team-based client care. You will...
-
Access Navigator CBHC Outpatient
4 weeks ago
Springfield, United States Behavioral Health Network, Inc. Full timeIf you are an experienced direct-care provider looking to help improve our community and grow professionally, then keep reading because this is for you!!Join our team of competent and compassionate professionals as a shift Access Navigator in the CBHC at Behavioral Health Network! The Access Navigator has a unique role in team-based client care. You will...
-
Kinship Navigator Specialist
1 month ago
Springfield, United States FosterAdopt Connect Full timeJob DescriptionJob DescriptionSalary: $45,000KINSHIP NAVIGATOR SPECIALIST Job Category: Family Programs Job Status: Full-time, non-exempt Reports to: Kinship Navigator Program Manager Job Summary: The Kinship Navigator Specialist provides kinship caregivers assistance with understanding, navigating, and accessing the system of out-of-home care...
-
Virtual Clinic Navigator
2 weeks ago
Springfield, United States CoxHealth Full timeThe Virtual Care Navigator is responsible for assisting with on-site implementation of the school-based telehealth program. The Virtual Care Navigator will assist in the school-based telehealth visit process in a consumer focused, appropriate, and ti Clinic, Navigator, School, Virtual, Healthcare
-
Springfield, United States Behavioral Health Network Full timeDescriptionIf you are an amazing service provider and are ready for your next lifesaving experience, then keep reading because this is for you!!Join our team of competent and compassionate professionals as a Clinician GSSSI at Behavioral Health Network! The Clinician GSSSI will use a person-centered approach to work with adult individuals who have behavioral...
-
Springfield, United States Behavioral Health Network Full timeDescriptionIf you are an amazing service provider and are ready for your next lifesaving experience, then keep reading because this is for you!!Join our team of competent and compassionate professionals as a Clinician GSSSI at Behavioral Health Network! The Clinician GSSSI will use a person-centered approach to work with adult individuals who have behavioral...
-
Healthcare Service Coordinator
5 days ago
Springfield, Virginia, United States Elevance Health, Inc. Full timeAbout the RoleWe are seeking a skilled LTSS Service Coordinator-Clinician to join our team at Elevance Health, Inc.Key ResponsibilitiesIdentify High-Risk Members: Utilize clinical data and expertise to identify members at risk for complications.Obtain Clinical Data: Gather and verify clinical information to inform care coordination decisions.Alternative Care...
-
Ophthalmology Clinical Navigator
4 days ago
Springfield, United States Mercy Full timeFull Time, 40 hours a week!Mercy Surgery Center- Eye Spec OphthalmologySpringfield, MOKey Benefits:Tuition reimbursement up to $2,000 for continuing educationHealth/Dental/Vision available after day oneAnnual contribution of $100 per month to eligible dependent care FSAPaid parental leave for new parents401K with employer matchPaid PTO for...
-
Access Navigator
3 days ago
Springfield, Massachusetts, United States Behavioral Health Network Full timeAbout the Role:The Access Navigator has a unique role in team-based client care, building working relationships and providing in-the-moment interventions and referrals to support individuals. As an Access Navigator, you'll provide evidence-based care in the context of an integrated behavioral health team led by a Master's-Level Clinician.Key...