Jobs for Humanity is partnering with Meridian Illinois to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard of Hearing, Black, Hispanic, Asian, Military Veterans, the Elderly, the LGBTQ, and Justice Impacted individuals. This position is open to candidates who reside in and have the legal right to work in the country where the job is located.

Company Name: Meridian Illinois

Are you looking for an opportunity to make a difference in the lives of 28 million individuals? Join our Medical Management/Health Services team and be the one who brings positive change to our members. Centene, a national organization, values workplace flexibility and offers competitive benefits. We welcome people from all backgrounds, including the elderly, refugees, individuals with visible and invisible disabilities, LGBTQIA+, veterans, and more.

This position allows remote/work from home support for LTSS MMP HIV/TBI waiver participants in Christian, DeWitt, Logan, Macon, and Sangamon counties. We're excited to offer a $3,000 sign-on bonus, and the role includes 75% travel with mileage reimbursement based on the current IRS guideline rate.

Position Purpose: In this role, you will play a crucial part in helping our members access the services they need. You will coordinate and integrate medical and long-term care services, including orientation, care plan development, assessment, and care coordination.

Responsibilities:

• Conduct assessments with members, caregivers, or providers to gather information about their status, support system, and service needs for care plan development
• Monitor service delivery and follow up with members, caregivers, or providers through in-person visits and phone calls
• Authorize and coordinate referrals for services
• Ensure that provider services are provided without gaps and identify any deficiencies in care plans
• Assist in coordinating the development of informal or voluntary services to integrate into the member's care plan
• Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plans, care plans, and coordination of acute care and long-term care services
• Support members in filing and resolving complaints and appeals

Education/Experience:

To qualify for this role, you need either:

• A Bachelor's degree or Registered Nurse licensure and 2+ years of care management experience
• An LPN and 4+ years of care management experience, or 6+ years of care management experience

Experience in home health, discharge planning, or long-term care is strongly preferred.

Brain Injury/HIV/AIDS:

Candidates must meet one of the following criteria:

• 1. A Registered Nurse (RN) licensed in Illinois and a bachelor's degree in nursing, social work, social sciences, or counseling, or four (4) years of case management experience
• 2. Certified or Licensed social worker with a Bachelor's degree in social work, social sciences, or counseling, or a Master's in social work
• 3. Unlicensed social worker with a minimum of a bachelor's degree in social work, social sciences, or counseling

In addition to meeting one of the criteria above, candidates must have experience working with:

• Addictive and dysfunctional family systems
• Racial and ethnic minorities
• Homosexuals and bisexuals
• Persons with AIDS
• Substance abusers

Our Comprehensive Benefits Package includes:

• Flexible work solutions, including remote options, hybrid work schedules, and dress flexibility
• Competitive pay
• Paid time off, including holidays
• Health insurance coverage for you and your dependents
• 401(k) and stock purchase plans
• Tuition reimbursement and best-in-class training and development

Centene is an equal opportunity employer that values diversity and embraces our differences. We encourage all qualified applicants to apply, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristics protected by applicable law. Join us in making a positive impact on the lives of millions.