Care Manager - LTSS & Integrated Care Coordination

Molina Healthcare, Inc.; Elgin (IL); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS member care across the continuum.

You will collaborate with multidisciplinary teams to ensure timely assessments, develop and monitor individual care plans, and promote integrated services for high-need members. The role requires strong communication, problem-solving, and travel to local sites, with a focus on quality outcomes and cost-effective care delivery.

Qualifications

• 2+ years health care experience, including LTSS and care management experience.
• Clinical licensure and/or certification required only if state contract mandates it.
• Bachelor’s degree in a health care related field may be required by state.
• Valid driver’s license, reliable transportation, and auto insurance for travel.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and health professionals.
• Monitor care plan effectiveness, document interventions, and adjust as needed.
• Promote integration of services across behavioral health and LTSS sectors.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Lead interdisciplinary care team meetings for approvals/denials.
• Educate, support, and motivate members using motivational interviewing.
• Identify barriers to care and coordinate psycho/social, financial, and medical support.
• Identify critical incidents and develop prevention plans.

Skills

Care management

LTSS

Disability care

Communication

Travel 25-40%

License requirements

Education

Bachelor's degree in healthcare

Job description

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS member care across the continuum.

You will collaborate with multidisciplinary teams to ensure timely assessments, develop and monitor individual care plans, and promote integrated services for high-need members. The role requires strong communication, problem-solving, and travel to local sites, with a focus on quality outcomes and cost-effective care delivery.