Care Manager: LTSS & Care Coordination Specialist

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is hiring in Illinois for a care management professional focused on long-term services and supports (LTSS). You will work with a multidisciplinary team to coordinate member care, develop and monitor care plans, and help ensure quality and cost-effective outcomes.

Travel up to 40% may be required based on state contracts. Required are at least 2 years in health care with LTSS exposure; licensure is only needed if mandated by the state.

Qualifications

• 2+ years health care experience, LTSS exposure preferred.
• Licensure/certification required only if state contract mandates it.

Responsibilities

• Conduct member assessments within required timelines and visit requirements.
• Access and coordinate waiver enrollment/disenrollment processes.
• Develop and implement member care and waiver service plans with the team.
• Monitor and adjust care plans to meet goals and outcomes.
• Coordinate LTSS and behavioral health services to ensure continuity of care.
• Assess medical necessity and authorize appropriate waiver services.
• Support ICT meetings for service approvals/denials.
• Travel up to 25–40% as required by state contracts.

Skills

Strong communication

Time management

Independent worker

Microsoft Office

Navigating online portals

Travel readiness

Education

Bachelor’s in health care field

Active/licensed certification (where required)

Tools

Microsoft Office

Job description

Molina Healthcare is hiring in Illinois for a care management professional focused on long-term services and supports (LTSS). You will work with a multidisciplinary team to coordinate member care, develop and monitor care plans, and help ensure quality and cost-effective outcomes.

Travel up to 40% may be required based on state contracts. Required are at least 2 years in health care with LTSS exposure; licensure is only needed if mandated by the state.