BloomingtonILRecruiter Since 2001
the smart solution for Bloomington jobs

LTSS Care Specialist- Champaign, McLean, DeWitt counties

Company: WellCare
Location: Bloomington
Posted on: March 20, 2020

Job Description:

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and local communities in which they live while helping them lead better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us in a career that inspires passion and purpose across all levels and disciplines within our award-winning organization. To learn more about this position Click Here to see a video. Reports to: Mgr, Non-Clinical Field CM Department: Mer- IL- Case Mgmt Location: Illinois 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. Essential Functions: 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 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. Candidate Education: Required Other For Florida LTC and IL LTSS: a Bachelors degree in social work, sociology, psychology, gerontology, or other related social services field Preferred Other For Florida LTC and IL LTSS: a Masters degree in social work, sociology, psychology, gerontology, or other related social services field Candidate Experience: Required Other For Florida LTC and IL LTSS, must meet one of the following: *Possess a minimum of two (2) years of relevant experience and have a Bachelor?s degree in social work, sociology, psychology, gerontology, or a related social services field; or * Possess a master?s degree in social work, sociology, psychology, gerontology, or a related social services field may substitute experience obtained through a practicum, internship, or clinical rotation on an equivalent basis for up to one (1) year of the experience requirements; *Non-degreed candidates may substitute professional human service experience on a year-for-year basis for the educational requirement with a minimum of six (6) years of relevant experience. Candidate Skills: Intermediate Demonstrated written communication skills Intermediate Demonstrated interpersonal/verbal communication skills Intermediate Knowledge of healthcare delivery Intermediate Ability to work as part of a team Intermediate Ability to work independently Intermediate Ability to work in a fast paced environment with changing priorities Intermediate Demonstrated organizational skills Intermediate Other Ability to remain calm under pressure Licenses and Certifications: A license in one of the following is required: Required Other For FL only: CPR Certified Preferred Certified Case Manager (CCM) Technical Skills: Required Intermediate Microsoft Outlook Required Intermediate Microsoft Word Required Intermediate Microsoft Excel Required Intermediate Healthcare Management Systems (Generic) About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.

Keywords: WellCare, Bloomington , LTSS Care Specialist- Champaign, McLean, DeWitt counties, Other , Bloomington, Illinois

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Seeking 2 Lead Female Vocalists
Description: I have an established band that will be coming up on doing our music tour, seeking 2 female vocalists who are serious
Company: Sapphire's Blue Notes
Location: Aurora
Posted on: 04/5/2020

OTR Driver (Joliet)
Description: STARTING FEBRUARY 2, 2020 WE ARE INCREASING OUR PAY PER MILE Increasing our layover and detention payIncreasing our loading and unloading payIncreasing our vacation payAdding Easter as a paid (more...)
Company: Dick Lavy Trucking
Location: Joliet
Posted on: 04/5/2020

Lease Purchase - NEW: One Year Option
Description: Job Description br br IF YOU ARE LOOKING FOR COMPANY OR LEASE PURCHASE POSITION br br PLEASE
Company: TransX, Ltd.
Location: Aurora
Posted on: 04/5/2020


Outside sales - Route Sales - Mac Tools - Training Provided
Description: Build a Great Career and a Quality Life with Mac Tools. Feel the freedom and independence of working on your own, in a stress free environment - with no one to answer to, except yourself Join the family (more...)
Company: Mac Tools
Location: Joliet
Posted on: 04/5/2020

Class A CDL Truck Driver Positions!
Description: Clean Harbors is seeking Regional and OTR Owner Operators Truck Driver Benefits: 7500 sign on bonusRegional and OTR lanesHome weekly or biweekly based on areaNo touch freight for van loadsLight duty work (more...)
Company: Clean Harbor, Inc
Location: Aurora
Posted on: 04/5/2020

Owner Operator Truck Drivers
Description: Clean Harbors is seeking Regional and OTR Owner Operators Truck Driver Benefits: 7500 sign on bonusRegional and OTR lanesHome weekly or biweekly based on areaNo touch freight for van loadsLight duty work (more...)
Company: Clean Harbor, Inc
Location: Aurora
Posted on: 04/5/2020

CDL A Owner Operator CDL A or B Must Have a Truck
Description: Owner Operators - The Choice Is Yours br br SEEKING CLASS A AND CLASS B OWNER OPERATORS br br You must own your own Class 7 or Class 8 truck to be considered for employment. br br As an Owner (more...)
Company: Tran Stewart
Location: Aurora
Posted on: 04/5/2020

Lease Purchase - NEW: One Year Option
Description: Job Description br br IF YOU ARE LOOKING FOR COMPANY OR LEASE PURCHASE POSITION br br PLEASE
Company: TransX, Ltd.
Location: Joliet
Posted on: 04/5/2020

Owner Ops - Get 27% of the Load & Great Benefits
Description: National Express Trucking is looking for drivers with lots of experience We are a growing flatbed company, in the midwest region, hauling all types of building materials and machinery.
Company: National Express Trucking
Location: Aurora
Posted on: 04/5/2020

Crete Trucking Job
Description: Crete Truck Driving Job - CDL A RequiredNow Earn Up To .53 Per Practical MileBenefits of Joining Crete Carrier:Start out earning .50 - .53 per practical mileTop 50 of drivers average over 81,300 (more...)
Company: Crete Carrier
Location: Aurora
Posted on: 04/5/2020

Log In or Create An Account

Get the latest Illinois jobs by following @recnetIL on Twitter!

Bloomington RSS job feeds