Care Management Specialist: LTSS & Waiver Coordination

Jobtome; Illinois; On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a care management professional to provide LTSS-focused support, coordinating care across disciplines and ensuring member progress toward outcomes. The role involves home visits, waiver processes, and collaboration with providers to optimize care delivery.

Responsibilities include assessing needs, developing care plans, monitoring outcomes, and promoting community resources. Occasional travel is required to meet state contracts and member visits.

Qualifications

• At least 2 years health care experience with LTSS.
• Experience with care management or medical/behavioral health settings.
• Valid driver's license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with care teams and members.
• Monitor care plan effectiveness and document outcomes.
• Promote LTSS integration and community resources.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Lead ICT meetings for service approvals/denials.
• Use motivational interviewing to support behavior change.
• Identify barriers and arrange resources to address obstacles.
• Collaborate with licensed care managers as needed.
• Travel 25-40% as required.

Skills

Care coordination

Communication skills

MS Office

Driver's license

Education

Bachelor's degree in healthcare

Tools

MS Office

Job description

Molina Healthcare is seeking a care management professional to provide LTSS-focused support, coordinating care across disciplines and ensuring member progress toward outcomes. The role involves home visits, waiver processes, and collaboration with providers to optimize care delivery.

Responsibilities include assessing needs, developing care plans, monitoring outcomes, and promoting community resources. Occasional travel is required to meet state contracts and member visits.