Care Manager – LTSS & Integrated Care

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

Job summary

Molina Healthcare seeks a Care Coordinator in Chicago to support LTSS care management and coordinate member care with a multidisciplinary team. You will help ensure progress toward outcomes and contribute to strategies for quality and cost-effective member care.

The role involves comprehensive member assessments, waiver enrollment/disenrollment, care plan development, and ongoing monitoring, with substantial travel to community settings as needed.

Qualifications

• At least 2 years of health care experience, including LTSS and care management.
• Valid driver's license, reliable transportation, and auto insurance for travel.
• Ability to work independently and manage multiple projects with attention to detail.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians, and the care network.
• Monitors care plan effectiveness, documents interventions and goals achieved.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates covered benefits and funding sources.
• Facilitates ICT meetings for approval or denial of services.
• Uses motivational interviewing and Molina clinical guideposts to educate and motivate change.
• Identifies barriers to care and coordinates care to address psycho/social, financial, and medical obstacles.
• Collaborates with licensed care managers/leadership as needed.
• 25-40% estimated local travel may be required.

Skills

Communication skills

Time management

Problem-solving

Self-motivation

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare seeks a Care Coordinator in Chicago to support LTSS care management and coordinate member care with a multidisciplinary team. You will help ensure progress toward outcomes and contribute to strategies for quality and cost-effective member care.

The role involves comprehensive member assessments, waiver enrollment/disenrollment, care plan development, and ongoing monitoring, with substantial travel to community settings as needed.