Care Manager for LTSS & Care Coordination

Jobtome; De Pue (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager to support LTSS care coordination and interdisciplinary collaboration for high-need members across care settings. The role emphasizes timely assessments, waiver processes, and integrated services to improve outcomes while controlling costs.

The position requires a valid driver’s license and willingness to travel up to 40% locally to meet member needs. Licensure or certification will be required where state contracts mandate it.

Qualifications

• At least 2 years health care experience including LTSS care management.
• Clinical licensure/certification required if mandated by state contract.
• Bachelor’s degree in health care field may be required by state.
• Valid driver’s license, transportation, and adequate auto insurance for travel.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care team.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of LTSS and behavioral health services.
• Assesses medical necessity and authorizes waiver services.
• Coordinates interdisciplinary care team meetings for approvals/denials.
• Educates and motivates members using motivational interviewing.
• Identifies barriers and provides care coordination for psycho/social, financial, medical obstacles.
• Collaborates with licensed care managers as needed.
• Travels 25-40% depending on state requirements.

Skills

Care coordination

Communication

Problem solving

Time management

Microsoft Office

Education

Bachelor’s degree in health care

Clinical licensure/certification (if required)

Tools

Microsoft Office

Online portals

Job description

Molina Healthcare is seeking a Care Manager to support LTSS care coordination and interdisciplinary collaboration for high-need members across care settings. The role emphasizes timely assessments, waiver processes, and integrated services to improve outcomes while controlling costs.

The position requires a valid driver’s license and willingness to travel up to 40% locally to meet member needs. Licensure or certification will be required where state contracts mandate it.