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Date Added: Sat 18/07/2020

Long Term Support Services Care Specialist

Collinsville, Illinois, US
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Job Type: Permanent, FullTime

Long Term Support Services Care Specialist
Position Purpose: Oversees the care for long term support services /
long term care populations and provides coordination of care services
for lower acuity individuals living in the community or nursing
facilities. Ensures a comprehensive assessment of member's care needs
and status, interdisciplinary team approach, and education of members.
Works closely with internal and external partners to achieve optimal
health care outcomes for the member through effective coordination of
care activities.
* Coordination and care management of members with lower utilization
of home community services (i.e. members attending adult day care
services or those who are stable on current medication / treatment
* Manages an active caseload based on state mandated ratios according
to residential setting, case intensity and acuity.
* Ensures comprehensive assessments are completed within required time
frames and utilizes knowledge and expertise to assess options for care
including use of benefits and community resources.
* Partners effectively with the PCP, Specialist, member, member s
family and integrated care teams (ICT) to develop a Person Centered
Care Plan.
* In partnership with the member, family, physician(s), ICT and other
providers, assesses short and long term member needs, evaluates the
need for alternative services and establishes member driven care
management objectives.
* Responsible for coordination of service authorizations (i.e. meals,
transportation, activities of daily living).
* Educates on and coordinates community resources with emphasis on
medical, behavioral and social services. Applies care management
standards and maintains HIPAA standards and confidentiality of
protected health information.
* Ensures compliance with all state and federal regulations and
guidelines in day-to-day activities.
* Performs special projects as assigned.Additional Responsibilities:
Education/Experience: Bachelor's degree in social work, sociology,
psychology, gerontology, or other related social services field and 2+
years of relevant experience OR Master's degree in social work,
sociology, psychology, gerontology, or a related social services
field, 1+ years of experience obtained through a practicum,
internship, or clinical rotation on an equivalent basis and 1+ years
of relevant experience OR Equivalent experience of 6+ years. (Florida
LTC and Illinois LTSS)
Licenses and Certifications: CPR Certified (Florida Only), Certified
Case Manager (CCM) preferred.
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.
Medical Management
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