Care Manager - LTSS & Care Coordination

Jobtome; Garden Prairie (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a dedicated care manager to support LTSS coordination and care integration for high-need members. You will collaborate with a multidisciplinary team to ensure quality, cost-effective care and outcomes.

Responsibilities include conducting assessments, coordinating waiver services, developing care plans, and traveling as required to member homes and clinics. Strong communication and independent work skills are essential.

Qualifications

• 2+ years health care experience including LTSS and 1 year in care management or equivalent.
• Clinical licensure/certification is state-dependent and must be active if required.
• Valid driver's license and reliable transportation for travel requirements.
• Strong knowledge of community resources and resource coordination.
• Ability to work independently and manage multiple projects.

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, families, clinicians and support networks.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Promotes integration of behavioral health and LTSS with community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources as needed.
• Facilitates ICT meetings for approval/denial of services and collaboration.
• Uses motivational interviewing to educate and support change during contacts.
• Identifies barriers to care and assists with psycho/social, financial and medical obstacles.
• Identifies critical incidents and develops prevention plans for member welfare.
• May travel 25-40% depending on state/contractual requirements.

Skills

Health care experience

Care management

Communication skills

Microsoft Office

Travel readiness

LTSS experience

Resource coordination

Independent work

Education

Bachelor's degree in a health care field (state contract dependent)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a dedicated care manager to support LTSS coordination and care integration for high-need members. You will collaborate with a multidisciplinary team to ensure quality, cost-effective care and outcomes.

Responsibilities include conducting assessments, coordinating waiver services, developing care plans, and traveling as required to member homes and clinics. Strong communication and independent work skills are essential.