Care Manager, LTSS & Care Coordination

Jobtome; Naperville Township (IL); Presencial; USD 35 000 - 68 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Competitive benefits

Equal Opportunity Employer

Resumo da oferta

Molina Healthcare is seeking a Care Coordinator to support LTSS members with high-need potential. You will collaborate with a multidisciplinary team to coordinate care, perform assessments, develop and monitor care plans, and promote service integration across LTSS and behavioral health.

Required are 2+ years in health care with LTSS or care management, a valid driver's license, and ability to travel 25-40%.

Qualificações

• At least 2 years of health care experience, including LTSS and care management.
• Active and unrestricted license if required by state.
• Valid driver’s license and reliable transportation.
• Experience with diverse populations and cross-functional teams.

Responsabilidades

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan with members and care network.
• Monitors care plan effectiveness and documents interventions and goals.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates covered benefits and advises on funding sources.
• Facilitates ICT meetings for approvals/denials.
• Educates and motivates members using motivational interviewing.
• Assesses barriers to care and assists with psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• Travel 25-40% may be required.

Conhecimentos

Care coordination

LTSS experience

Communication skills

Team collaboration

Motivational interviewing

Problem solving

Microsoft Office

Formação académica

Bachelor's degree in a health care related field

Clinical licensure/certification

Descrição da oferta de emprego

Molina Healthcare is seeking a Care Coordinator to support LTSS members with high-need potential. You will collaborate with a multidisciplinary team to coordinate care, perform assessments, develop and monitor care plans, and promote service integration across LTSS and behavioral health.

Required are 2+ years in health care with LTSS or care management, a valid driver's license, and ability to travel 25-40%.