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

We are looking for a compassionate and dedicated clinical professional to join our Medical Management/Health Services team and make a positive impact on the lives of our 28 million members. At Centene, a national organization, we offer competitive benefits and embrace workplace flexibility to create a welcoming environment for all.

This position allows you to work from home, providing support to LTSS MMP HIV/TBI waiver participants in Christian, DeWitt, Logan, Macon, and Sangamon counties. We are currently offering a $3,000 sign-on bonus for this role.

In this role, you will travel approximately 75% of the time, with mileage reimbursement based on the current IRS guideline rate.

Position Purpose: Your main responsibility will be to ensure that our members have access to the services they need by coordinating and integrating medical and long-term care services. This includes conducting assessments, developing care plans, and coordinating care.

Your key responsibilities will include:

• Conducting assessments with members, caregivers, or providers to gather information on client status, support system, and service needs for care plan development
• Monitoring service delivery and following up with members, caregivers, or providers through in-person visits and phone calls
• Authorizing and coordinating referrals for services
• Ensuring that provider services are delivered without gaps and identifying any deficiencies in care plans
• Assisting in the coordination of informal or voluntary services to integrate into the member's care plan
• Collaborating with discharge planners, physicians, and other parties to ensure appropriate discharge planning and coordination of acute and long-term care services
• Assisting members with filing and resolving complaints and appeals

Education/Experience: To be considered for this position, you should have at least a Bachelor's degree or be a Registered Nurse with 2+ years of care management experience. Alternatively, you can be an LPN with 4+ years of care management experience, or have 6+ years of care management experience. Experience in home health, discharge planning, or long-term care is highly preferred.

Brain Injury/HIV/AIDS: To work with this specific population, you must meet one of the following criteria:

• 1. A Registered Nurse (RN) licensed in Illinois with a bachelor's degree in nursing, social work, social sciences, counseling, or four (4) years of case management experience
• 2. Be a certified or licensed social worker with a Bachelor's degree in social work, social sciences, or counseling, or hold a master's degree in social work
• 3. If you're an unlicensed social worker, you must have a minimum of a bachelor's degree in social work, social sciences, or counseling

In addition to meeting one of the above criteria, you should have experience working with:

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

At Centene, we offer a comprehensive benefits package, including flexible work solutions such as remote options and hybrid schedules. We provide 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 opportunities.

Centene is an equal opportunity employer that promotes diversity and values our differences. 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.

--- Response: Dear Hiring Manager, I am writing to express my interest in the clinical professional role supporting LTSS MMP HIV/TBI waiver participants in Christian, DeWitt, Logan, Macon, and Sangamon counties. With my strong background in care management and dedication to providing high-quality services, I believe I can make a positive impact on the lives of your 28 million members. As a clinical professional, I am committed to ensuring that members have access to the care and services they need. I have experience conducting assessments, developing care plans, and coordinating care to meet the unique needs of individuals and their families. I am skilled in monitoring service delivery and providing support through in-person visits and telephone communication. I am excited about the opportunity to collaborate with discharge planners, physicians, and other healthcare professionals to ensure smooth transitions between acute and long-term care settings. In addition, I have experience assisting members with filing and resolving complaints and appeals, ensuring their voices are heard and their concerns are addressed. Beyond my professional qualifications, I bring a deep understanding and appreciation for diversity and inclusion. I have worked with individuals from various backgrounds, including addictive and dysfunctional family systems, racial and ethnic minorities, homosexuals and bisexuals, persons with AIDS, and substance abusers. I am dedicated to creating a safe and welcoming environment for all individuals, regardless of their gender identity, disability, or veteran status. I hold a [Bachelor's degree/Registered Nurse licensure] and have [insert number of years] of experience in care management. I am confident that my skills, knowledge, and passion for improving the lives of others align perfectly with the requirements of this position. Thank you for considering my application. I look forward to the opportunity to contribute to your team and make a difference in the lives of your members. Please find my attached resume for more details on my qualifications. Sincerely, [Your Name] --- Bullet Points: - Remote/work from home position supporting LTSS MMP HIV/TBI waiver participants in Christian, DeWitt, Logan, Macon, and Sangamon counties - $3,000 sign-on bonus offered - Travel required approximately 75% of the time, with mileage reimbursement based on IRS guidelines - Responsibility for coordinating and integrating medical and long-term care services - Conducting assessments, developing care plans, and coordinating care - Monitoring service delivery and following up with members, caregivers, or providers - Authorizing and coordinating referrals for services - Ensuring provider services are delivered without gaps and identifying deficiencies in care plans - Assisting in the development of informal or voluntary services for member care plans - Collaborating with discharge planners, physicians, and other parties to ensure appropriate care coordination - Assisting members with filing and resolving complaints and appeals - Required education/experience: Bachelor's degree, RN licensure, LPN, or relevant years of care management experience - Preferred experience in home health, discharge planning, or long-term care - Specific requirements for Brain Injury/HIV/AIDS cases: either a registered nurse, certified/licensed social worker, or unlicensed social worker with relevant degrees/experience - Experience working with various populations including addictive and dysfunctional family systems, racial and ethnic minorities, homosexuals and bisexuals, persons with AIDS, and substance abusers - Comprehensive benefits package offered, including flexible work options, competitive pay, paid time off, health insurance, retirement plans, tuition reimbursement, and training opportunities - Centene is an equal opportunity employer committed to diversity and inclusion, considering all applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.