at Centene Corporation in Springfield, Illinois, United States
Job Description
You could be the one who changes everything for our 26 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.
PLEASE NOTE: THIS ROLE SUPPORTS WAIVER MEMBERS WITH BRAIN INJURIES (BI) OR HIV/AIDS. IT IS HYBRID REMOTE WITH FIELD VISITS. APPLICANTS SHOULD BE LOCATED WITHIN THE FOLLOWING ZIP CODES IN CHICAGO, IL AND SOME SUBURBAN AREAS: 60632, 60609, 60638, 60629, 60636, 60621, 69652, 60620, 60655, 60643, 60406, 60482, 60803 and 60805. PREFERENCE FOR SOMEONE WHO IS BILINGUAL IN SPANISH AND ENGLISH.
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
• Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact
• Authorize and coordinate referral for services
• 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
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.
Licenses/Certifications: Valid driver’s license. LPN or RN preferred.
For Illinois Plan Only: In addition to the requirements above the employee working on
Persons with Brain Injury Waiver Care Coordinators must meet one (1) of the seven (7) following requirements:
1. Registered Nurse (RN) licensed in Illinois
2. Certified or Licensed social worker
3. Unlicensed social worker: minimum of bachelor’s degree in social work, social sciences or counseling
4. Vocational specialist: certified Rehabilitation counselor or at least three (3) years’ experience working with people with disabilities
5. Licensed Clinical Professional Counselor (LCPC)
6. Licensed Professional Counselor (LPC)
7. Certified Case Manager (CCM)
Persons with HIV/AIDS Waiver Care Coordinators must meet one (1) of the three (3) following requirements:
1. 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.
2. Social worker with a Bachelor’s degree in either social work, social sciences or counseling
or a Masters of social work
3. Individual with a bachelor’s degree in a human services field with a minimum of five (5) years of case management experience.
In addition, it is mandatory that the Care Coordinator for Enrollees within the Persons with HIV/AIDS Waiver have experience working with:
• Addictive and dysfunctional family systems
• Racial and ethnic minorities
• Homosexuals and bisexuals
• Persons with AIDS, and
• Substance abusers
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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.
TITLE: Bilingual Long Term Care Coordinator I
LOCATION: Various, Illinois
REQNUMBER: 1418878
