Care Manager, LTSS Care Coordination

Molina Healthcare, Inc.; Aurora (IL); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare, Inc. is seeking a Care Manager to support LTSS-focused activities and coordinate integrated care across teams for high-need members.

The role involves assessing needs, developing care plans with member and network, monitoring progress, and ensuring medical necessity for waiver services. Travel is anticipated to support state-specific requirements and provider coordination.

Qualifications

• 2+ years of health care experience, including LTSS/care management experience.
• Clinical licensure/certification required only if mandated by state contract or licensing rules.
• Bachelor’s degree may be required in some states.
• Valid and unrestricted driver's license with reliable transportation for travel.
• Experience with community resources and coordinating care.
• Strong communication and ability to work independently and remotely when needed.
• Proficiency with Microsoft Office and online portals.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person visits.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and implement care plans with the member and care network.
• Monitor and document progress toward goals; adjust as needed.
• Promote integration of LTSS with behavioral health services and community resources.
• Assess medical necessity and authorize waiver services.
• Collaborate with interdisciplinary care team for approvals/denials.
• Educate and motivate members using motivational interviewing and clinical guidelines.
• Identify barriers to care and coordinate supports across psycho/social, financial, and medical domains.
• Develop prevention plans for member health and welfare.
• Collaborate with licensed care managers as needed.
• Travel up to 25-40% based on state/contractual requirements.

Skills

Healthcare experience

Care management

Communication

Time management

Problem solving

Independence

Travel readiness

Driver's license

Community resources knowledge

Team collaboration

Education

Bachelor’s degree in a health care related field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Care Manager to support LTSS-focused activities and coordinate integrated care across teams for high-need members.

The role involves assessing needs, developing care plans with member and network, monitoring progress, and ensuring medical necessity for waiver services. Travel is anticipated to support state-specific requirements and provider coordination.