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Position Title: LTSS Service Care Coordinator
Work Location: Remote - IL (Winnebago County)
Assignment Duration: 6 months - extend or convert
Work Schedule: Mon - Fri 8 am CT - 430pm CT with a 30-minute lunch
Work Arrangement: Remote (field-facing member visits required)
Position Summary 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 for long-term care members and educate members and their families/caregivers on services and benefits available to meet member needs.
Background & Context
The LTSS Case Manager will specifically manage Home and Community-Based Services (HCBS) waivers for individuals with Physical Disabilities and Aging-related needs. This position is a backfill for a full-time employee (FTE) within the Winnebago County geographic team. The employee will work remotely from home but must have their own vehicle and a valid driver's license to conduct in-home member visits. These visits will involve conducting health risk assessments, developing care plans, and coordinating service plans to support members' long-term care needs. Additional hiring needs have also been submitted.
Key Responsibilities
Evaluate members' needs and available resources to recommend and facilitate care plans that support optimal outcomes.
Assist in developing ongoing long-term care plans and service plans, identifying appropriate healthcare providers, specialists, and community resources.
Coordinate between members, families/caregivers, and healthcare provider teams to ensure access to identified services.
Provide resource support to members and their families/caregivers for needs such as employment, housing, participant direction, independent living, justice, and foster care, based on assessments and service plans.
Monitor care plans, service plans, member status, and outcomes, recommending adjustments based on identified needs.
Collaborate with long-term care healthcare providers and community partners to ensure members' needs are met.
Collect, document, and maintain member information and care management activities in compliance with state, federal, and third-party payer regulations.
Conduct on-site visits, as appropriate, to assess members' needs and collaborate with providers and community resources.
Educate members and their families/caregivers on healthcare procedures, provider instructions, service options, referrals, and available healthcare benefits.
Provide feedback to leadership regarding opportunities to improve quality of care, service delivery, and cost-effectiveness.
Perform other duties as assigned.
Comply with all organizational policies and standards.
| Education/Certification |
Required: 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 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.
3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly |
Preferred: N/A |
| Licensure |
Required: None Required |
Preferred: N/A |
Years of experience required: At least 1 year
Disqualifiers: No experience as a field-based LTSS care coordinator managing HCBS waivers
Additional qualities to look for: Computer literate |
- Top 3 must-have hard skills stack-ranked by importance
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1 |
Organizational Skills |
| 2 |
Excellent Time Management |
| 3 |
Interpersonal Skills |
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