Long Term Support Services Care Specialist
Company: Centene Corporation
Posted on: May 3, 2021
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 regimens).
- 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
- 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
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.
Keywords: Centene Corporation, Pensacola , Long Term Support Services Care Specialist, Other , Pensacola, Florida
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