Care Coordinator - LTSS & Waiver Services

Molina Healthcare, Inc.; Champaign (IL); Vor Ort; USD 35.000 - 68.000; Vollzeit

Zusammenfassung

Molina Healthcare is hiring for a care management position in Illinois to support care coordination for LTSS and high-need members. You will collaborate with a multidisciplinary team to deliver integrated member care and ensure progress toward outcomes.

The role involves comprehensive assessments, waiver enrollment, and development of individualized care plans with a focus on quality, cost-effective care. Travel may be required.

Qualifikationen

• Two years of healthcare experience including LTSS experience preferred.
• Licensure/certification required only if state contract requires it.
• Bachelor's degree in health care may be required in some states.

Aufgaben

• Completes comprehensive member assessments within regulated timelines, including in-person home visits when required.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care teams.
• Monitors care plan effectiveness and suggests changes.
• Promotes integration of services across LTSS, behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.

Kenntnisse

Care coordination

Communication skills

Microsoft Office

Ausbildung

Healthcare-related degree

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare is hiring for a care management position in Illinois to support care coordination for LTSS and high-need members. You will collaborate with a multidisciplinary team to deliver integrated member care and ensure progress toward outcomes.

The role involves comprehensive assessments, waiver enrollment, and development of individualized care plans with a focus on quality, cost-effective care. Travel may be required.