Care Manager: LTSS & Integrated Care Coordination

Molina Healthcare; Aurora (IL); On-site; USD 34,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

EOE

Job summary

Molina Healthcare is hiring a care management professional in Illinois to support LTSS activities and care coordination across the care continuum.

You will collaborate with a multidisciplinary team, conduct member assessments (including home visits), and develop and monitor care plans aimed at achieving member outcomes and cost-effective care. The role entails 25-40% local travel and requires strong communication skills.

Qualifications

• At least 2 years health care experience, including LTSS/disability or chronic conditions.
• Clinical licensure and/or certification as required by state contract.
• Valid and unrestricted driver’s license for project-related travel.
• Proven ability to work independently and manage multiple tasks.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and monitor care plans with providers, caregivers and members.
• Coordinate LTSS services and ensure medical necessity and funding coverage.
• Lead ICT meetings for service approvals or denials.
• Travel 25-40% locally as required by state contracts.

Skills

Healthcare experience

Care coordination

Communication skills

James Office suite

Driver's license

Tools

MS Office

Job description

Molina Healthcare is hiring a care management professional in Illinois to support LTSS activities and care coordination across the care continuum.

You will collaborate with a multidisciplinary team, conduct member assessments (including home visits), and develop and monitor care plans aimed at achieving member outcomes and cost-effective care. The role entails 25-40% local travel and requires strong communication skills.