LTSS Service Care Manager - works with IDD members and IDD Waiver Providers in Dallas TX
Must reside in the Dallas, TX area.
NOTE: Travel for member visits is required - 3 days per week.
Business Unit: STAR+PLUS Service Coordination, IDD Waiver Team.
Position Purpose
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/service plans for long-term care members and educate members and their families/caregivers on services and benefits available to meet member needs.
Responsibilities
Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome.
Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialists, and/or community resources needed for long-term care.
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members.
Provides resource support to members and their families/caregivers for various needs (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans.
Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs.
Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met.
Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners.
Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner.
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience
Requires a Bachelor's degree and 2 – 4 years of related experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Preferred Experience
3+ years of case management experience working directly with IDD members and IDD Waiver Providers.
2+ years of experience coordinating and managing medical and social services, and providing patient advocacy and education to Medicaid members.
Experience in FIELD-BASED Social Worker or Case Manager role in community health, mental health, or state social services settings, such as Local Intellectual Developmental Disabilities Authority (LIDDA), Mental Health Authority (MHA), or Behavioral Health Authority is preferred.
Pay Range
$26.50 - $47.59 per hour.
Benefits
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Equal Opportunity Statement
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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.