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Long Term Care Coordinator I - Sorento Illinois
Company: Meridian Illinois Location: Sorento, Illinois
Posted On: 05/04/2024
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
- 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
- Performs other duties as assigned
- Complies with all policies and standardsEducation/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 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
Brain Injury/HIV/AIDS: Candidate must meet one of the 3 following criteria: - 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. Certified or Licensed social worker with Bachelor's degree in either social work, social sciences or counseling or a Masters of social work
- 3. Unlicensed social worker: minimum of bachelor's degree in social work, social sciences, or counseling
In addition to meeting one of the above criteria, must have experience working with: |
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