Care Manager: LTSS Care Coordination & Outcomes

Molina Healthcare; Gilman (IL); On-site; USD 39,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a care management professional to support LTSS and care coordination. The role collaborates with a multidisciplinary team to ensure integrated member care across the continuum and to achieve desired health outcomes.

The position involves home visits, waiver enrollment activities, and ongoing monitoring of care plans. Travel of 25-40% may be required depending on state contracts and geographic needs.

Qualifications

• 2+ years in health care, with care management or LTSS experience.
• Licensure as LCSW/LMSW/APSW/LPCC/LMFT or equivalent; active in state.
• May require health care related bachelor's degree in some states.
• Valid driver's license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor progress, document interventions, and adjust care plans as needed.
• Promote integrated care across behavioral health, LTSS, and community resources.
• Assess medical necessity and authorize waiver services.

Skills

Communication skills

Time management

Detail-oriented

Self-motivation

Proactive

Travel readiness

Education

LCSW/LMSW/APSW/LPCC/LMFT or equivalent

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care management professional to support LTSS and care coordination. The role collaborates with a multidisciplinary team to ensure integrated member care across the continuum and to achieve desired health outcomes.

The position involves home visits, waiver enrollment activities, and ongoing monitoring of care plans. Travel of 25-40% may be required depending on state contracts and geographic needs.