Description:
The LTSS Care Coordinator (Care Coach 1) employs a variety of strategies, approaches, and techniques to manage a member's health issues. The LTSS Care Coordinator (Care Coach 1) understands own work area professional concepts/standards, regulations, strategies, and operating standards, and makes decisions regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
Key Responsibilities
- Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section).
- Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
- Identifies and resolves barriers that hinder effective care.
- Plans and implement interventions to meet care needs.
- Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
- Ensures the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
- Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member's care as appropriate and required by our comprehensive contract.
Required Qualifications
Use your skills to make an impact
The Care Coordinator (Care Coach 1) must meet one (1) of the following requirements:
- Bachelor's degree in social sciences, social work, human services, or a related field.
- An active, unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year of experience in conducting comprehensive assessments and provision of formal services to elderly individuals.