Care Manager: LTSS Care Coordination

Molina Healthcare, Inc.; Plainfield (IL); Vor Ort; USD 35.000 - 68.000; Vollzeit

Benefits dieser Stelle

Competitive benefits

Zusammenfassung

Molina Healthcare, Inc. is seeking a care management professional to support LTSS programs, conducting member assessments and coordinating services across disciplines. You will work with caregivers, physicians, and the care team to address member needs and achieve outcomes.

The role emphasizes travel to member homes and communities, adherence to regulatory timelines, and collaboration with licensed care managers. Strong communication and problem-solving skills are essential.

Qualifikationen

• 2+ years healthcare experience including LTSS/care management
• Licensed/certified as required by state contract/regulations
• Valid driver’s license and reliable transportation

Aufgaben

• Complete comprehensive member assessments within timelines and conduct in-person visits
• Facilitate waiver enrollment/disenrollment processes
• Develop and implement care plans with member and care team
• Monitor and adjust care plans based on outcomes
• Coordinate LTSS and behavioral health services across settings
• Assess medical necessity and authorize waiver services
• Collaborate with interdisciplinary care team meetings
• Identify barriers to care and assist with psycho/social and medical obstacles
• Travel 25-40% as required by state/contractual needs

Kenntnisse

Care coordination

Disability/ LTSS experience

Communication skills

Travel willingness

Ausbildung

Bachelor’s degree in health care field

Tools

MS Office

Jobbeschreibung

Molina Healthcare, Inc. is seeking a care management professional to support LTSS programs, conducting member assessments and coordinating services across disciplines. You will work with caregivers, physicians, and the care team to address member needs and achieve outcomes.

The role emphasizes travel to member homes and communities, adherence to regulatory timelines, and collaboration with licensed care managers. Strong communication and problem-solving skills are essential.