Care Manager - Integrated Care & LTSS Specialist

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

Benefits offered by this job

Competitive benefits

EOE M/F/D/V

Job summary

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS coordination in Illinois. The role collaborates with a multidisciplinary team to ensure member progress toward outcomes and cost-effective, quality care.

Responsibilities include conducting comprehensive assessments, facilitating waiver enrollment, developing care plans, monitoring progress, and coordinating services with providers, families, and community resources. Travel up to 40% may be required.

Qualifications

• 2+ years health care experience including LTSS.
• Licensure/certification as required by state regulations.
• Valid driver's license and reliable transportation.
• Experience with diverse populations and settings.
• Exposure to substance use disorders in some states is a plus.

Responsibilities

• Completes comprehensive member assessments within regulated timelines and conducts in-person home visits when required.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, and providers.
• Monitors care plan effectiveness, documents interventions, and suggests changes.
• Promotes integration of services across LTSS and behavioral health.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and advises on funding sources.
• Facilitates ICT meetings for approvals and coordination.
• Uses motivational interviewing to educate and motivate change.
• Addresses barriers to care and coordinates with community resources.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• 25-40% travel may be required.

Skills

Healthcare experience

Care management

LTSS

Disabilities/Chronic conditions

Communication skills

Education

Bachelor's degree in healthcare or related field

Tools

Microsoft Office

Online portals

Job description

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS coordination in Illinois. The role collaborates with a multidisciplinary team to ensure member progress toward outcomes and cost-effective, quality care.

Responsibilities include conducting comprehensive assessments, facilitating waiver enrollment, developing care plans, monitoring progress, and coordinating services with providers, families, and community resources. Travel up to 40% may be required.