Care Coordination Specialist for LTSS & Behavioral Health

Molina Healthcare; Chillicothe (IL); On-site; USD 34,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordinator in Illinois to support care management activities for members with high-need potential across LTSS. You will work with a multidisciplinary team to coordinate services, develop care plans, and monitor outcomes to improve quality and cost-effectiveness of member care.

The role requires travel, detailed assessments, eligibility determinations, and strong communication with members, caregivers, and providers.

Qualifications

• At least 2 years health care experience, including LTSS and 1 year in care management.
• Valid driver's license and reliable transportation for travel requirements.
• Ability to work independently with strong communication and time-management skills.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans in collaboration with members, caregivers, and health professionals.
• Monitor care plan effectiveness and document interventions and goal achievement.
• Promote integration of LTSS and behavioral health services to ensure continuity of care.
• Assess medical necessity and authorize appropriate waiver services.
• Collaborate with ICT meetings for service approvals/denials.
• Travel 25-40% locally as required by state/contractual requirements.

Skills

Care coordination

Healthcare experience

Communication skills

Office software

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Coordinator in Illinois to support care management activities for members with high-need potential across LTSS. You will work with a multidisciplinary team to coordinate services, develop care plans, and monitor outcomes to improve quality and cost-effectiveness of member care.

The role requires travel, detailed assessments, eligibility determinations, and strong communication with members, caregivers, and providers.