Care Coordination Specialist for LTSS & Waiver Services

Molina Healthcare; Staunton (IL); In loco; USD 38.000 - 74.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive benefits

Descrizione del lavoro

Molina Healthcare in Staunton, IL is seeking a care management professional to support LTSS activities and coordinate member care across the continuum. You will collaborate with a multidisciplinary team to ensure quality, cost-effective outcomes and adherence to regulatory timelines, including home visits as required.

The role emphasizes comprehensive assessments, waiver enrollment processes, care-plan development, and ongoing monitoring.

Competenze

• At least 2 years in health care, including care management/ LTSS experience.
• Active licenses required (state dependent).
• Valid driver's license and ability to travel up to 40%.
• Ability to work independently and within diverse settings.

Mansioni

• Complete comprehensive member assessments within regulated timelines and perform required home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and support network.
• Monitor care plans and adjust interventions to meet goals.
• Promote service integration across LTSS, behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for approvals/denials.
• Use motivational interviewing to support member change.
• Identify barriers to care and provide assistance to address psycho-social, financial, and medical needs.
• May travel locally 25-40% as required by state contracts.

Conoscenze

Communication

Time management

Proactive work style

Self-motivation

Interpersonal skills

Formazione

LCSW

LMSW

APSW

CHES

LPC

LPCC

LMFT

PhD or PsyD

Strumenti

Microsoft Office

Descrizione del lavoro

Molina Healthcare in Staunton, IL is seeking a care management professional to support LTSS activities and coordinate member care across the continuum. You will collaborate with a multidisciplinary team to ensure quality, cost-effective outcomes and adherence to regulatory timelines, including home visits as required.

The role emphasizes comprehensive assessments, waiver enrollment processes, care-plan development, and ongoing monitoring.