Custodial Prevention Specialist

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Collaborate individually with members to develop customized care plans and coordinate necessary services.

• Evaluate members' goals, needs, obstacles, resources, and their ability to reintegrate into the community.

• Offer specialized assistance to members receiving Long Term Services and Support (LTSS).

• Address health-related social concerns and provide psychosocial assistance.

• Support members living in nursing facilities by fostering relationships with facility staff and advocating for their care.

• Engage with members both over the phone and in person to set goals, assess resources, create care plans, and identify providers and community partnerships.

• Assist members and their caregivers in accessing LTSS, as well as social, housing, educational, and other essential services.

• Create and adjust Individual Service Plans while involving relevant members of the care team.

• Navigate LTSS and associated environmental and social requirements.

• Utilize available member data to avoid repetitive assessments.

• Suggest Home and Community-Based Services (HCBS) to promote member independence.

• Facilitate communication with payers, providers, and interdisciplinary care teams.

• Educate members on how to maintain their Medicaid eligibility.

• Input annual Level of Care assessments into the state portal.

• Travel 75–90% of the time in the field to visit members.

⛳️ Requirements

• Must be a resident of the state of Illinois.

• Bachelor's degree in social sciences, social work, human services, or a related discipline.

• A minimum of two (2) years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), or managed care organizations.

• At least one (1) year of professional experience working with members in custodial and transitional care settings.

• Proficiency in using electronic information applications/software programs, including electronic medical records.

• Willingness to travel within the region to meet in person with members, families, community partners, and care teams.

• Valid state driver's license required.

• Personal vehicle liability insurance that meets the required limits.

• Availability to work Monday–Friday, from 8:00 AM to 5:00 PM Central Standard Time, with some flexibility.

• Ability to complete TB screening if selected for the position.

🏝️ Benefits

• Bonus incentive plan based on individual and/or company performance.

• Medical, dental, and vision insurance coverage.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Flexible work schedule.

• Self-provided internet service for remote work.

• Dedicated workspace to ensure the protection of member PHI/HIPAA information.